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

In many adult guidelines, how long before an elective anaesthetic can clear fluids usually be drunk?

1. AUp to 10 minutes before
2. BUp to 24 hours before
3. CUp to 12 hours before
4. DUp to 2 hours before

What is the main purpose of a surgical wound drain?

1. ATo feed the patient after surgery
2. BTo remove fluid or blood that collects at the operation site
3. CTo measure the patient's temperature
4. DTo give IV fluids and antibiotics straight into the wound bed

Which factor most increases the risk of Clostridioides difficile infection?

1. ADrinking bottled water
2. BRecent antibiotic treatment
3. CA diet high in fibre
4. DRegular exercise

Which initial treatment is usual for symptomatic hypercalcaemia of malignancy?

1. AOral calcium tablets and vitamin D
2. BFluid restriction and a thiazide diuretic
3. CA high-calcium diet with extra milk
4. DIV fluids followed by an IV bisphosphonate

Which wound drain observation should be reported immediately?

1. ADrainage slowly falling each day
2. BA sudden large volume of fresh red blood
3. CSmall amounts of pink serous fluid
4. DA little dried blood around the drain site

Which drug class is used to reduce the risk of a first variceal bleed in cirrhosis?

1. ANon-selective beta-blockers
2. BThiazide diuretics
3. CCalcium supplements
4. DProton pump inhibitors

A patient with lung cancer becomes hypotensive and breathless, with distended neck veins and quiet heart sounds. What should the nurse suspect?

1. ASuperior vena cava obstruction from the tumour
2. BCardiac tamponade from a pericardial effusion
3. CHypercalcaemia of malignancy from bone metastases
4. DA side effect of anti-sickness drugs

A nurse teaches a patient about a fentanyl skin patch. Which statement shows a need for further teaching?

1. A"I can cut the patch in half if I need less."
2. B"I won't put a hot water bottle over the patch."
3. C"I'll fold used patches sticky sides together before disposal."
4. D"I'll put the new patch on a different area of skin."