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

What is an anastomosis in bowel surgery?

1. AAn opening of the bowel onto the skin
2. BA drain placed beside the bowel
3. CA tube placed in the bowel for feeding
4. DA surgical join between two ends of bowel

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. AYes, for one month after each session
2. BYes, so they must avoid all contact with children and pregnant women
3. CNo, they are not radioactive and can be with family
4. DOnly their clothes are radioactive afterwards

Where are venous leg ulcers usually found?

1. AOn the sole of the foot under the heel
2. BOn the tips of the toes and between the toes
3. CAround the inner ankle, in the gaiter area
4. DOn the front of the thigh

Which lung problem is a known toxicity of bleomycin?

1. AAsthma from pollen
2. BPulmonary fibrosis
3. CLung cancer within weeks
4. DPneumothorax from coughing

Why do patients usually have a dental review before radiotherapy to the head and neck?

1. ATeeth block the radiation beam completely
2. BThe dentist gives the radiotherapy
3. CIt causes dry mouth and raises the risk of decay and jaw damage
4. DRadiotherapy can only be given once all the teeth have been removed

Aspirate from a nasogastric tube has a pH of 7. What should the nurse do?

1. AFlush with 50 mL of air and start the feed
2. BDo not use it; re-test later or arrange an X-ray as per policy
3. CStart the feed slowly and watch the patient closely for coughing
4. DGive the medicines but not the feed

On day 2 of nasogastric feeding, a severely malnourished patient becomes weak and breathless with ankle swelling. Phosphate is 0,4 mmol/L. What is most likely?

1. AToo little calorie intake
2. BAn allergy to the feed formula
3. CRefeeding syndrome
4. DNormal adjustment to the new feed

On the day after a Hartmann's procedure, the end colostomy is dark purple to black. What should the nurse do?

1. ARub the stoma to improve its colour
2. BRecord it as normal postoperative bruising and recheck it next week
3. CCut a smaller hole in the pouch
4. DReport it urgently, as the stoma may be necrotic