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

What is cancer cachexia?

1. AA fever that occurs after every chemotherapy cycle and lasts several days
2. BSevere loss of weight and muscle that diet alone does not reverse
3. CA skin rash from radiotherapy
4. DWeight gain caused by steroid treatment

What is referred pain?

1. APain that is passed on from one doctor to another
2. BPain that only lasts for a few seconds
3. CPain felt at a site away from the organ causing it
4. DPain that a patient makes up

Where are venous leg ulcers usually found?

1. AAround the inner ankle, in the gaiter area
2. BOn the sole of the foot under the heel
3. COn the front of the thigh
4. DOn the tips of the toes and between the toes

Why might a patient's platelet count be monitored while they receive heparin?

1. ATo detect heparin-induced thrombocytopenia
2. BTo see whether the patient has an infection
3. CTo measure the heparin dose in the blood exactly
4. DTo check whether the heparin is causing anaemia

لماذا يُعلَّم المرضى دعم جرح البطن بوسادة عند السعال؟

1. Aلأنه يجعل السعال أضعف فلا يتعرض الجرح للخطر
2. Bلأنه يسرّع التئام حواف الجلد
3. Cلأنه يقلّل الألم والشد فيستطيعون السعال جيدًا
4. Dلأنه يغني عن المسكنات المنتظمة

A day after a spinal anaesthetic, a patient has a headache that is worse when sitting up and better when lying flat. What is the most likely cause?

1. AMigraine caused by hospital lighting
2. BPost-dural puncture headache
3. CA side effect of the antibiotic
4. DRaised blood pressure from pain

A patient with a sacral pressure ulcer keeps sliding down the bed when the head is raised high. Which advice best reduces shear?

1. AUse a dry sheet and drag the patient up the bed
2. BRaise the head of the bed to 90° and pull the patient up the bed by the arms
3. CSit the patient upright without any support for the feet
4. DKeep the head of the bed at or below 30° if possible; use slide sheets

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