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

What is a hiatus hernia?

1. ABowel bulging through a weak point in the muscle at the umbilicus
2. BA bulge of bowel through an old surgical scar
3. CPart of the bowel pushing through the groin into the scrotum
4. DPart of the stomach pushing up through the diaphragm

Why does chemotherapy often affect the bone marrow, gut lining and hair?

1. AThese tissues contain rapidly dividing cells
2. BThese tissues have no blood supply
3. CThese tissues store the chemotherapy drugs
4. DThese tissues are the main sites of cancer

What is a carcinoma?

1. AA cancer arising from epithelial cells
2. BA cancer of white blood cells
3. CA benign growth of fatty tissue
4. DA cancer arising from bone or muscle

Which complication is more typical of Crohn's disease than of ulcerative colitis?

1. ADisease that is cured by removing the colon
2. BInflammation limited to the rectal lining
3. CBleeding only from the rectum
4. DFistulas between the bowel and other organs

Which check is routinely made for a patient with a burn wound?

1. ATetanus immunisation status
2. BBlood group of the next of kin
3. CVisual acuity in both eyes
4. DMeasles vaccination status

A patient with a new colostomy asks what to eat at home. Which advice is most appropriate?

1. ADrink as little fluid as possible to reduce output
2. BEat only liquids until the stoma is removed
3. CAvoid all fruit and vegetables for the rest of their life
4. DEat a normal, balanced diet and introduce foods gradually

A patient with long-standing chronic pancreatitis now has weight loss, thirst and passing large volumes of urine. What should the nurse check first?

1. AAbdominal girth
2. BSerum amylase level
3. CCapillary blood glucose
4. DPeak expiratory flow

After a fall, a patient with advanced dementia is agitated, grimacing and guarding the hip, and cannot rate the pain. What should the nurse do?

1. AWait until a relative can confirm the pain
2. BGive a sedative to treat the agitation and avoid giving any analgesia
3. CAssume there is no pain because none is reported
4. DUse an observational pain tool, give analgesia and reassess