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

أين يُحَس ألم التهاب البنكرياس الحاد عادةً؟

1. Aفي طرف الكتف الأيسر، ويزداد مع التنفس العميق
2. Bفي أسفل الظهر، ويخف بالاستلقاء المسطح
3. Cفي شرسوف البطن، وغالبًا ينتشر إلى الظهر
4. Dفي أسفل البطن الأيمن قرب الورك

Which tool helps assess pain in a person with advanced dementia who cannot report it?

1. AThe MUST nutrition score
2. BThe Glasgow Coma Scale, scored every hour
3. CAn observational scale such as PAINAD or Abbey
4. DA numerical rating scale from 0 to 10, read out slowly

What is lymphoedema?

1. ASwelling from a broken bone in the arm
2. BFluid in the lungs from heart failure
3. CSwelling from poor lymph drainage, for example after node removal
4. DInflammation of the lymph nodes in the neck and armpits from a virus

A dying patient can no longer drink. Which mouth care is most appropriate?

1. ABrushing hard with a stiff toothbrush twice a day
2. BFrequent, gentle moistening of the mouth and lips
3. CNo mouth care, to avoid disturbing the patient
4. DLemon and glycerine swabs every hour to stimulate saliva

Which instruction is important during bowel preparation for colonoscopy?

1. AAvoid all fluids for 24 hours before the test
2. BDrink plenty of clear fluids while taking the preparation
3. CTake the preparation only if the bowels have not opened
4. DEat a high-fibre meal the evening before the test

أيّ طور من التئام الجروح يتضمن تكوين النسيج الحبيبي وأوعية دموية جديدة؟

1. Aالطور الالتهابي
2. Bطور النضج
3. Cطور التكاثر
4. Dطور الإرقاء (التخثر)

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. BAcute urinary retention
3. CRaised intracranial pressure
4. DRebound hypoglycaemia

At the end of an operation, the final count shows one swab missing. What should happen?

1. AClose the wound, as the swab was probably thrown away
2. BTell the surgeon, search, and X-ray if it is not found
3. CLet the patient leave and search the theatre later
4. DRecord the count as correct to avoid a delay