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

Which is an example of a non-drug method of pain relief?

1. AA lidocaine patch
2. BAn ibuprofen tablet with food
3. CRelaxation and distraction
4. DA morphine injection into the thigh

What is a skin graft donor site?

1. AA blood vessel used to give fluids
2. BA wound where healthy skin was taken for grafting
3. CA scar that has fully matured
4. DThe area where the graft was placed on the burn wound

Which tool helps assess pain in a person with advanced dementia who cannot report it?

1. AThe Glasgow Coma Scale, scored every hour
2. BAn observational scale such as PAINAD or Abbey
3. CThe MUST nutrition score
4. DA numerical rating scale from 0 to 10, read out slowly

Which finding means a patient is usually ready to leave recovery for the ward?

1. ASystolic BP falling steadily over the last hour, with a rising pulse rate
2. BStill drowsy and needing a jaw thrust to breathe
3. CPain score 9/10 and vomiting repeatedly
4. DAwake, with a clear airway, stable observations and controlled pain

Which statement about corticosteroids in inflammatory bowel disease is correct?

1. AThey cure the disease after one course
2. BThey are the best long-term maintenance treatment
3. CThey are used to induce remission, not for maintenance
4. DThey are given only as a one-off injection

Which medicine commonly delays wound healing?

1. AVitamin C supplements
2. BParacetamol
3. CSaline eye drops
4. DLong-term corticosteroids

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. BLine infection; escalate and take blood cultures
3. CLow blood glucose; give a sugary drink
4. DFluid overload; reduce the infusion rate only

A 60 kg adult with 25% TBSA burns arrives 2 hours after the injury, having had no IV fluids. Using the Parkland formula, what hourly rate is needed for the rest of the first 8 hours?

1. A250 mL/h
2. B375 mL/h
3. C1000 mL/h
4. D500 mL/h