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

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

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

Radiotherapy to the pelvis commonly causes which side effects?

1. ADiarrhoea and frequent, painful passing of urine
2. BCough and breathlessness
3. CDry mouth and changes in taste for many months afterwards
4. DHair loss from the scalp

Which exercises are usually taught to patients before major surgery?

1. AHeavy weightlifting to build strength
2. BLong-distance running every day
3. CHolding the breath for as long as possible
4. DDeep breathing, coughing and leg exercises

How should a patient with facial burns usually be positioned?

1. AIn any position that keeps the face covered
2. BWith the head of the bed raised to reduce swelling
3. CLying face down on the pillow to protect the airway
4. DLying flat with the head lower than the feet

Which infection control measure is correct for a patient with C. difficile diarrhoea?

1. ANo special measures once antibiotics have started
2. BA shared bay, as long as alcohol gel is used after every contact
3. CA single room with its own toilet, and soap-and-water handwashing
4. DA face mask for the patient and visitors only

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe medicine chart, including laxatives and antibiotics
2. BThe colour of the feeding bag label
3. CThe patient's mobility aids and walking distance
4. DThe patient's eye drops and skin creams

Two hours after a meal, a patient who had a gastrectomy becomes shaky, sweaty and confused. What is the most likely cause and first action?

1. AEarly dumping from fluid shifts; give a large drink of water
2. BAn anastomotic leak; insert a nasogastric tube at once
3. CVitamin B₁₂ deficiency; give an injection now
4. DLate dumping with low blood glucose; check capillary glucose

On day 5 after a major burn, a patient is confused, with a temperature of 39,2 °C, tachycardia, and an offensive, discoloured wound. What should the nurse suspect?

1. AAn allergy to the dressing only
2. BThe normal hypermetabolic response alone
3. CDelirium from boredom on the ward
4. DBurn wound infection with sepsis