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

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

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

What is Barrett's oesophagus?

1. AA tear in the oesophagus caused by forceful vomiting
2. BDilated veins in the lower oesophagus caused by portal hypertension
3. CA change of the lower oesophageal lining to a stomach-like type
4. DA pouch in the upper oesophagus that traps food

Which signs suggest a deep vein thrombosis in the leg?

1. ASwelling, pain, warmth and redness of one calf
2. BA painless rash on both shins
3. CCold, pale feet on both sides with no pulse
4. DItching between the toes of both feet

Why are carbohydrate drinks often given before surgery in enhanced recovery programmes?

1. ATo reduce insulin resistance and improve recovery
2. BTo make the bowels open before the operation
3. CTo replace the need for any IV fluids afterwards
4. DTo raise the blood pressure during the anaesthetic

Which monitoring is especially important for a patient receiving parenteral nutrition?

1. ABowel sounds and stool colour only
2. BBlood glucose and signs of line infection
3. CPeak flow and visual acuity
4. DPupil size and limb strength

When is cold therapy most useful for pain?

1. AFor long-term muscle stiffness, applied continuously for several hours
2. BDirectly on skin with poor circulation
3. CSoon after an acute soft tissue injury, to reduce swelling
4. DOver numb areas where sensation is lost

An hour after a line flush, a patient receiving parenteral nutrition has rigors and a temperature of 39,1 °C. What should the nurse suspect and do?

1. AA normal reaction; give paracetamol and continue the infusion
2. BFluid overload; reduce the infusion rate only
3. CLine infection; escalate and take blood cultures
4. DLow blood glucose; give a sugary drink

A 62-year-old with known reflux reports burning central chest pain with sweating and breathlessness that began while walking. What should the nurse do first?

1. AGive an antacid and reassess the pain in an hour
2. BAdvise the patient to avoid spicy food at future meals
3. CBook a routine endoscopy for later in the week
4. DRecord a 12-lead ECG and escalate as possible cardiac pain