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

What is the MUST tool used for?

1. AScreening adults for malnutrition risk
2. BMeasuring pain in confused patients
3. CScoring the severity of a burn injury
4. DAssessing the risk of falls

ما أشيع سبب لانسداد الأمعاء الدقيقة لدى البالغين في البلدان المرتفعة الدخل؟

1. Aسرطان القولون والمستقيم
2. Bأجسام غريبة مبتلعة
3. Cحصى المرارة العالقة في عنق المرارة
4. Dالالتصاقات الناجمة عن جراحة سابقة

Which exercises are usually taught to patients before major surgery?

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

ما أبكر علامة غالبًا على فرط الحرارة الخبيث أثناء التخدير؟

1. Aارتفاع غير مفسَّر في CO₂ في نهاية الزفير
2. Bانخفاض مطرد في حرارة الجسم
3. Cجلد محمر مع انخفاض مستوى CO₂
4. Dبطء معدل القلب وانخفاض ضغط الدم

In the UK National Early Warning Score (NEWS2), what does an aggregate score of 5 or more usually trigger?

1. ADischarge planning for the next day
2. BAn urgent review by a clinician skilled in acute illness
3. CRoutine observations once every 12 hours, with no other change in care
4. DNo change unless the patient complains

Which finding suggests a deep tissue pressure injury?

1. ADry, flaky skin on both shins
2. BA small scratch on the skin with a little fresh red blood
3. CPale pink skin that blanches quickly when pressed
4. DIntact skin that is purple or maroon over a bony area

On day 5 after hip surgery, a patient suddenly becomes breathless, with sharp chest pain on breathing in, a pulse of 120/min and SpO₂ 89%. What should the nurse suspect and do first?

1. ASimple atelectasis; encourage walking around the ward
2. BPulmonary embolism; sit up, give oxygen and call for urgent help
3. CWound infection; take a wound swab and wait for results
4. DAnxiety; give reassurance and repeat the observations in an hour's time

A patient arrives in the anaesthetic room without an identity band. What should the nurse do?

1. AStop and confirm identity, then apply a band
2. BProceed because the patient can say their name
3. CUse the spare identity band from the front of the patient's notes folder
4. DProceed and add a band once in recovery