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

What is a keloid scar?

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

Which sign is typical of hepatic encephalopathy?

1. AA stiff neck with sensitivity to light
2. BA fine rash over the chest and arms
3. CA flapping tremor of the outstretched hands
4. DA drooping eyelid on one side

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. AYes, for one month after each session
2. BNo, they are not radioactive and can be with family
3. COnly their clothes are radioactive afterwards
4. DYes, so they must avoid all contact with children and pregnant women

Which lifestyle change most improves the course of Crohn's disease?

1. ADrinking more coffee
2. BStopping smoking
3. CEating more red meat
4. DAvoiding all exercise

أيّ عبارة تصف التحمّل (tolerance) للأفيونيات على أفضل وجه؟

1. Aلدى المريض رغبة قهرية في مزيد من الدواء
2. Bأصيب المريض بحساسية من الدواء
3. Cلم يعد الدواء يسبب أي إمساك
4. Dالحاجة إلى جرعة أعلى مع الوقت للتأثير نفسه

Which statement about moist wound healing is correct?

1. AA wet wound bed always prevents infection
2. BA moist, not wet, wound bed helps cells move and heal faster
3. CWounds should be soaked in water for hours every day
4. DWounds heal fastest when left to dry out and form a scab

A patient with a severe flare of ulcerative colitis develops abdominal distension, fever and tachycardia, and the stool frequency has dropped. What should the nurse suspect?

1. AHaemorrhoids caused by diarrhoea
2. BSimple constipation from low intake
3. CToxic megacolon
4. DThe flare is getting better

After surgery, a patient says they have "no pain" but grimaces, breathes shallowly and refuses to move or cough. What should the nurse do?

1. ATell the patient firmly that they must stop hiding their pain from staff
2. BAccept the statement and record a pain score of 0
3. CExplore their beliefs and explain how analgesia aids recovery
4. DInsist they walk without any analgesia