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

What is an incisional hernia?

1. AA swelling in the groin present from birth
2. BA bulge of stomach through the diaphragm
3. CA bulge through a weakened surgical scar
4. DA pouch in the wall of the colon

Where should a diathermy return electrode (plate) be placed?

1. AOver a bony area such as the hip bone
2. BOn skin covered with spirit-based prep that is still wet
3. COver a metal joint replacement
4. DOn clean, dry skin over a well-perfused muscle

What is a keloid scar?

1. AA raised scar that grows beyond the edges of the wound
2. BA wound that will not close at all
3. CA scar that forms only on the inside of the body
4. DA flat, pale scar that fades and softens over time

Why is a gastrostomy tube with an internal bumper usually advanced and rotated regularly once the tract has healed?

1. ATo check that the patient is still hungry
2. BTo make the tube longer as the patient grows or gains weight
3. CTo stop the inner bumper becoming buried in the stomach wall
4. DTo remove any feed left in the stomach

أيّ مساحة تُستخدم كتقدير سريع لـ 1% من مساحة سطح الجسم للحروق الصغيرة أو المتناثرة؟

1. Aيد المريض وساعده
2. Bراحة يد الفاحص مع الأصابع
3. Cراحة يد المريض مع الأصابع
4. Dظفر إبهام المريض

After a spinal anaesthetic, which nursing check is particularly important?

1. APeak flow before and after each meal
2. BBlood glucose every 15 minutes overnight
3. CReturn of leg sensation and movement, and passing urine
4. DPupil reaction every five minutes for the next full day

A patient is splashed in the eye with an alkaline cleaning product. What is the first action?

1. ACover the eye with a pad and wait for a doctor to examine it first
2. BIrrigate the eye at once with large volumes of water or saline
3. CAsk the patient to rub the eye to clear it
4. DAdd a few drops of vinegar to neutralise it

A nurse teaches a patient with chronic pancreatitis. Which statement shows a need for further teaching?

1. A"I should not drink any alcohol."
2. B"I'll report increased thirst or passing urine more often."
3. C"Oily, floating stools may mean my dose needs changing."
4. D"I'll take my enzyme capsules at bedtime."