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

Which feature is typical of Crohn's disease?

1. AIt affects only the rectum and colon, in one continuous stretch
2. BIt can affect any part of the gut, with normal bowel in between
3. CIt affects only the stomach lining and causes ulcers there
4. DIt affects only the liver and bile ducts

What is metastasis?

1. AHealing of tissue after a biopsy
2. BSpread of cancer cells to a distant part of the body
3. CThe first appearance of a tumour in a single organ of the body
4. DShrinking of a tumour after treatment

Why should metoclopramide not be used for nausea in mechanical bowel obstruction?

1. AIt increases gut movement against the blockage
2. BIt blocks the effect of all opioids
3. CIt makes the bowel stop moving completely
4. DIt always causes severe diarrhoea

Which technique is correct when giving a prefilled low molecular weight heparin injection?

1. ARub the site firmly afterwards to help absorption
2. BInject into a vein in the back of the hand
3. CExpel the air bubble first and inject into the deltoid muscle
4. DLeave the air bubble in and inject into a skin fold

How does sucralfate help a peptic ulcer heal?

1. AIt forms a protective coating over the ulcer base
2. BIt blocks histamine receptors on parietal cells
3. CIt kills H. pylori in the stomach lining
4. DIt speeds up emptying of the stomach

A patient with recurrent diverticulitis reports passing air and faecal matter in the urine. What is the most likely cause?

1. ABowel preparation that was taken too quickly
2. BA fistula between the colon and the bladder
3. CA simple lower urinary tract infection
4. DA kidney stone blocking the ureter

A patient taking IV antibiotics has three unexplained loose stools in 24 hours. What should the nurse do first?

1. AGive loperamide after each loose stool and continue as usual
2. BIsolate the patient and send a stool sample for testing
3. CMove the patient to a bay with other patients to watch them closely
4. DWait two days to see if the diarrhoea settles