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

What is adjuvant chemotherapy?

1. ATreatment given before a biopsy is taken
2. BTreatment given only to patients who refuse surgery or radiotherapy
3. CTreatment given only to relieve symptoms
4. DTreatment after surgery to reduce the risk of recurrence

What is the first aid for a dry chemical powder on the skin?

1. ABrush off the powder, then irrigate with plenty of water
2. BAdd vinegar to neutralise it at once
3. CCover it with a tight dressing and wait
4. DRub it in with a wet cloth to spread it thinly over the skin

Radiotherapy to the pelvis commonly causes which side effects?

1. AHair loss from the scalp
2. BDiarrhoea and frequent, painful passing of urine
3. CCough and breathlessness
4. DDry mouth and changes in taste for many months afterwards

How should a patient with facial burns usually be positioned?

1. ALying flat with the head lower than the feet
2. BWith the head of the bed raised to reduce swelling
3. CLying face down on the pillow to protect the airway
4. DIn any position that keeps the face covered

Why do patients with major burns lose so much fluid in the first 24–48 hours?

1. APatients drink far too little in hospital in the first days
2. BThe burned skin absorbs fluid from the air
3. CLeaky capillaries let plasma move into the tissues
4. DThe kidneys stop making urine completely

Why is the "whoosh" test no longer used to check nasogastric tube position?

1. AAir can be heard even when the tube is in the lung
2. BIt needs an X-ray machine at the bedside
3. CThe test is far too painful for most patients to tolerate
4. DThe air always makes the tube block

مريض على PCA أفيوني يتلقى الأكسجين بقناع. SpO₂ 97% ومعدل التنفس 11/min، لكن يصعب إيقاظه الآن. ماذا ينبغي أن تستنتج الممرضة؟

1. Aالمريض ينام جيدًا ببساطة لأن الألم مضبوط
2. Bينبغي زيادة جرعة PCA للحفاظ على راحة المريض
3. Cالمريض آمن لأن تشبع الأكسجين طبيعي
4. Dسمّية الأفيونيات مرجَّحة؛ وقد يحجب الأكسجين نقص التهوية

On day 5 after a major burn, a patient is confused, with a temperature of 39,2 °C, tachycardia, and an offensive, discoloured wound. What should the nurse suspect?

1. ABurn wound infection with sepsis
2. BAn allergy to the dressing only
3. CThe normal hypermetabolic response alone
4. DDelirium from boredom on the ward