ورقة عمل التمريض الباطني الجراحي: الجهاز الهضمي وما حول الجراحة والأورام مع الإجابات

Why is nail varnish or a gel nail often removed from at least one finger before surgery?

1. ABecause it is a checklist rule with no clinical reason
2. BBecause varnish raises the patient's blood pressure
3. CSo pulse oximetry readings and nail colour can be assessed accurately
4. DBecause the varnish can make the anaesthetic gas less effective

What is the main purpose of a biopsy when cancer is suspected?

1. ATo give chemotherapy directly into the tumour
2. BTo measure the patient's blood count
3. CTo remove all the cancer at once
4. DTo confirm the diagnosis by examining tissue

Why is a feeding tube flushed with water before and after giving medicines?

1. ATo keep it clear and stop drugs mixing with feed
2. BTo warm the tube so it is more comfortable
3. CTo clean the stomach before the next meal
4. DTo check that the patient is not thirsty

Why are urinary catheters removed as early as possible after surgery?

1. ABecause the catheter stops the bowel working
2. BTo reduce the risk of catheter-associated infection
3. CBecause patients cannot drink normally while a catheter is in place
4. DBecause catheters always cause kidney stones

Which advice helps a patient with haemorrhoids?

1. AEat more fibre, drink enough fluid and avoid straining
2. BEat less fibre so that stools are smaller
3. CTake a codeine-based painkiller every day
4. DSit on the toilet for long periods to empty fully

Which statement about pain in older adults is correct?

1. AOpioids must never be used in people over 70
2. BPain is a normal part of ageing and does not need any treatment at all
3. CThey may under-report pain, so active assessment is needed
4. DOlder adults feel less pain because nerves wear out

Four patients from a house fire arrive in the emergency department. Which should the nurse assess first?

1. ACircumferential chest burns, with breathing becoming shallow and laboured
2. BPartial-thickness burns to both legs, with pain rated 8/10
3. CRedness on the backs of both hands, and very anxious
4. DA blistered forearm burn and a small cut on the knee

A patient with advanced cancer who has capacity decides to stop chemotherapy. The family insists that treatment must continue. What should the nurse do?

1. ASupport the patient's decision and help the team talk with the family
2. BAsk the family to sign a new consent form
3. CTell the patient that stopping is not allowed
4. DContinue treatment because the family has asked for it