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

Which finding describes a category 1 pressure ulcer?

1. AIntact skin with redness that does not blanch
2. BA wound covered with thick black eschar
3. CA shallow open wound with a red-pink base and no slough
4. DAn open wound with visible bone at the base

Where is biliary colic typically felt?

1. AIn the right upper abdomen, often after a fatty meal
2. BIn the left lower abdomen, after passing stool
3. CIn the lower back, after lifting something heavy
4. DIn the groin, after standing for a long time

What is cancer cachexia?

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

Why are patients with large burns at risk of hypothermia?

1. AThe fluids given are always chilled
2. BBurns always cause a low thyroid hormone level in the blood
3. CLoss of skin reduces their ability to keep in heat
4. DTheir metabolism stops after the injury

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

1. Aلم يعد الدواء يسبب أي إمساك
2. Bالحاجة إلى جرعة أعلى مع الوقت للتأثير نفسه
3. Cأصيب المريض بحساسية من الدواء
4. Dلدى المريض رغبة قهرية في مزيد من الدواء

Which statement about pain in older adults is correct?

1. AThey may under-report pain, so active assessment is needed
2. BOlder adults feel less pain because nerves wear out
3. COpioids must never be used in people over 70
4. DPain is a normal part of ageing and does not need any treatment at all

After forearm fracture surgery, a patient has severe pain not eased by opioids, made worse by passively moving the fingers. What should the nurse do?

1. AReassure the patient that this pain is expected
2. BLoosen any tight dressing, keep the arm at heart level and escalate
3. CApply ice and a tighter bandage to reduce the swelling
4. DRaise the arm as high as possible and give a further dose of opioid

A nurse teaches a patient to self-inject low molecular weight heparin at home. Which statement shows a need for further teaching?

1. A"I'll put the used syringe in the sharps bin."
2. B"I'll report any unusual bruising or bleeding."
3. C"I'll change the injection site each day."
4. D"I'll rub the area afterwards to spread the medicine."