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

Why are swabs, sharps and instruments counted during surgery?

1. ATo calculate the cost of the operation
2. BTo check the stock in the store room
3. CTo decide how long the operation took
4. DTo prevent items being left inside the patient

Which exercises are usually taught to patients before major surgery?

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

Which signs suggest a surgical site infection?

1. AMild bruising around the wound that is fading a little each day
2. BA dry wound edge with a thin scab
3. CIncreasing pain, redness, swelling, heat and pus
4. DMild itching as the wound heals

A patient is starting regular oral morphine. Which bowel advice is most appropriate?

1. ATake a bulk-forming laxative only with very little water
2. BStart a regular laxative at the same time
3. CStop eating fibre completely
4. DWait until there has been no stool for a week

Why does a patient need lifelong vitamin B₁₂ injections after total gastrectomy?

1. AVitamin B₁₂ is lost in the urine after the surgery
2. BThe liver can no longer store any vitamins
3. CIntrinsic factor from the stomach is no longer made
4. DThe small bowel stops absorbing all nutrients

After laparoscopic cholecystectomy, a patient has pain in the right shoulder. What is the most likely cause?

1. AGas used during surgery irritating the diaphragm
2. BA dislocated shoulder from patient positioning
3. CAn allergy to the dressing on the wound
4. DA heart attack during the operation

أثناء إنعاش الحروق، إدرار بول بالغ وزنه 80 kg هو 15 mL/h لمدة ساعتين. ماذا يدل ذلك؟

1. Aإدرار بول طبيعي لمريض الحروق
2. Bقسطرة مسدودة ينبغي نزعها ببساطة
3. Cفرط السوائل؛ ينبغي إيقاف كل السوائل الوريدية الآن
4. Dنقص الإنعاش؛ يحتاج معدل السوائل عادةً إلى زيادة

During radiotherapy to the chest, a patient develops pain on swallowing and is eating less. What is the most likely cause and nursing focus?

1. AA heart attack; give aspirin and arrange an ECG
2. BNormal ageing; no action needed
3. CRadiation oesophagitis; analgesia, soft food and nutrition support
4. DA stomach ulcer; give an antacid after meals only