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

What is cancer cachexia?

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

Which electrolyte typically falls in refeeding syndrome?

1. APhosphate
2. BChloride
3. CSodium
4. DCalcium

Which measure helps prevent burn scar contractures?

1. APositioning, splinting and regular stretching exercises
2. BApplying ice packs to the scar every day
3. CAvoiding all movement until the wound has healed
4. DKeeping the joint bent in the most comfortable position

Why is a urinary catheter usually inserted in a patient with a major burn?

1. AIt is needed to give medicines into the bladder
2. BHourly urine output guides fluid resuscitation
3. CBurns always cause the bladder to rupture
4. DThe catheter prevents wound infection

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

Which burn should usually be discussed with a specialist burns service even if it is small?

1. AA tiny burn on the forearm with redness only
2. BA healed burn scar from many years ago
3. CA small superficial sunburn on the back
4. DA partial-thickness burn on the hand

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

1. ASevere hyperkalaemia
2. BRaised intracranial pressure
3. CAcute urinary retention
4. DRebound hypoglycaemia

A patient with cirrhosis and ascites has a falling urine output and a rising creatinine. They have not received nephrotoxic drugs and are not dehydrated. Which complication is likely?

1. APolycystic kidney disease
2. BNephrotic syndrome
3. CUrinary tract infection
4. DHepatorenal syndrome