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

Which signs suggest peritonitis?

1. AGuarding, rebound tenderness and a rigid abdomen
2. BA soft abdomen with no pain on pressing
3. CLoud bowel sounds with a hungry feeling
4. DA small, painless lump near the umbilicus

What is an escharotomy?

1. APlacing a skin graft on a burn
2. BA cut through burned, tight skin to relieve pressure
3. CDraining a blister with a needle
4. DRemoval of the whole limb after a deep, extensive burn

On a numerical rating scale for pain, what do 0 and 10 usually mean?

1. A0 is no pain and 10 is the worst pain imaginable
2. B0 is the worst pain and 10 is no pain at all
3. C0 is mild pain and 10 is moderate pain
4. DThe numbers show how many hours the pain has lasted

ما الأولوية الأولى عندما يصل مريض إلى غرفة الإفاقة بعد تخدير عام؟

1. Aشربة ماء
2. Bالقصة الدوائية
3. Cضماد الجرح والمفجّرات
4. Dالمجرى الهوائي والتنفس

مريض لديه فغر لفائفي جديد وخرجه غزير جدًا. ما الخطر الرئيسي؟

1. Aفرط السوائل وتورم الكاحلين
2. Bالإمساك وانحشار البراز في الأمعاء فوق الفغر
3. Cالجفاف وفقد الصوديوم والبوتاسيوم والمغنيزيوم
4. Dارتفاع الكالسيوم وحصى الكلى خلال أيام

Which change suggests that a burn wound is becoming infected?

1. AThe wound becoming pink and a little smaller at each dressing change
2. BA partial-thickness burn becoming deeper, with new discolouration
3. CDry, healing skin with mild itching
4. DLess exudate on each dressing change

A surgical patient's MUST score is 3 and the wound is healing slowly. What is the most appropriate action?

1. ARefer to the dietitian, start a nutrition plan and monitor intake
2. BRestrict protein to help the kidneys
3. CEncourage fasting to reduce wound exudate and the size of the dressing
4. DRepeat the score in three months' time

A patient with a platelet count of 8 × 10⁹/L (8,000/µL) develops a sudden severe headache and confusion. What should the nurse suspect?

1. ANormal effects of chemotherapy
2. BA tension headache from stress
3. CDehydration from poor intake
4. DIntracranial bleeding