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

What is an anastomosis in bowel surgery?

1. AA surgical join between two ends of bowel
2. BA drain placed beside the bowel
3. CA tube placed in the bowel for feeding
4. DAn opening of the bowel onto the skin

What is the Braden scale (or a similar tool such as Waterlow) used for?

1. AMeasuring a patient's level of consciousness
2. BAssessing the risk of developing pressure ulcers
3. CScoring the severity of nausea
4. DGrading the depth of a burn wound before dressing it

أيّ أثر جانبي للأفيونيات لا يخف عادةً مع الاستمرار في الاستخدام؟

1. Aالإمساك
2. Bالتهدئة
3. Cالحكة
4. Dالغثيان والتقيؤ

Dysphagia that started with solids and now includes liquids, with weight loss, most suggests which cause?

1. ASimple anxiety about swallowing tablets
2. BNormal ageing of the swallowing muscles
3. CA dry mouth from drinking too little water
4. DA narrowing such as an oesophageal tumour

لماذا قد ترتفع اليوريا أكثر بكثير من الكرياتينين لدى مريض نزف السبيل الهضمي العلوي؟

1. Aلأن الدم المهضوم حمل بروتيني يرفع اليوريا
2. Bلأن النزف يتلف الأنابيب الكلوية مباشرة دائمًا
3. Cلأن بطانة المعدة النازفة تنتج اليوريا
4. Dلأن الكرياتينين يُفقد من الجسم في القيء

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe patient's eye drops and skin creams
2. BThe medicine chart, including laxatives and antibiotics
3. CThe colour of the feeding bag label
4. DThe patient's mobility aids and walking distance

During preoperative assessment, a patient says their brother had a "very high fever" during an anaesthetic. What is the most important action?

1. AReassure the patient that fevers after anaesthesia are always harmless
2. BInform the anaesthetist, as malignant hyperthermia may run in the family
3. CGive paracetamol before surgery to prevent fever
4. DRecord it as a family allergy to paracetamol

A bag of parenteral nutrition runs out and the next one will not arrive for several hours. Which risk should the nurse anticipate?

1. ARebound hypoglycaemia
2. BSevere hyperkalaemia
3. CAcute urinary retention
4. DRaised intracranial pressure