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

كيف يبدو الفغر (stoma) السليم؟

1. Aجافًا وأسود
2. Bأرجوانيًا أو معتمًا وجافًا
3. Cشاحبًا وباردًا
4. Dرطبًا وأحمر أو وردي اللون

أيّ فحص يُستخدم عادةً لإيجاد مصدر نزف السبيل الهضمي العلوي وعلاجه؟

1. Aتنظير القولون
2. Bدراسة بلعة الباريوم
3. Cتنظير السبيل الهضمي العلوي
4. Dصورة بسيطة للبطن بالأشعة السينية

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

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

What does "neoadjuvant" treatment mean?

1. ATreatment before the main treatment, often to shrink the tumour
2. BTreatment given only for pain relief
3. CTreatment that is given only after the cancer has already spread
4. DTreatment that is given instead of any surgery

A patient with a new colostomy asks what to eat at home. Which advice is most appropriate?

1. AAvoid all fruit and vegetables for the rest of their life
2. BDrink as little fluid as possible to reduce output
3. CEat a normal, balanced diet and introduce foods gradually
4. DEat only liquids until the stoma is removed

When is cold therapy most useful for pain?

1. AFor long-term muscle stiffness, applied continuously for several hours
2. BOver numb areas where sensation is lost
3. CDirectly on skin with poor circulation
4. DSoon after an acute soft tissue injury, to reduce swelling

During a nerve block, a patient reports a metallic taste and ringing in the ears, then has a seizure. Besides calling for help and supporting the airway, which specific treatment is given?

1. AIV naloxone
2. BIV dantrolene
3. CIV glucose 50%
4. DIV lipid emulsion

Which patient has the highest risk of postoperative nausea and vomiting?

1. AA male smoker having a short procedure without opioids
2. BA smoker who has never had nausea after surgery
3. CA man with no history of nausea having local anaesthetic only
4. DA non-smoking woman with motion sickness who will need opioids