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

Why are pressure garments worn after burns heal?

1. ATo hide the scars from other people
2. BTo prevent infection of the healed skin
3. CTo reduce raised, thick scarring
4. DTo keep the patient warm in winter

What is the basic idea of the WHO analgesic ladder?

1. AAlways start with the strongest opioid available and then reduce it slowly
2. BStep up from non-opioids to weak, then strong, opioids as needed
3. CGive analgesia only when the patient asks for it
4. DUse only one drug at a time, never in combination

Which urine output is commonly used as the minimum acceptable value for an adult after surgery?

1. AAbout 5 mL/kg per hour
2. BAbout 50 mL/kg per hour
3. CAbout 0,5 mL/kg per hour
4. DAbout 0,05 mL/kg per hour

Which is a common side effect of opioids, especially when given by epidural or spinal route?

1. ARinging in the ears
2. BIncreased hunger
3. CHair growth
4. DItching

Aspirate from a nasogastric tube has a pH of 7. What should the nurse do?

1. AStart the feed slowly and watch the patient closely for coughing
2. BFlush with 50 mL of air and start the feed
3. CDo not use it; re-test later or arrange an X-ray as per policy
4. DGive the medicines but not the feed

Which advice helps prevent dumping syndrome after gastrectomy?

1. ASit upright and walk briskly straight after every meal
2. BSmall, frequent meals low in simple sugars, with fluids between meals
3. CThree large meals a day with plenty of sweet drinks with each meal
4. DA high-sugar diet with fruit juice to keep energy levels up

أيّ استراتيجية للسوائل يوصى بها عمومًا في الساعات الأولى من التهاب البنكرياس الحاد؟

1. Aمحلول بلّوري متوازن موجّه بالهدف، يوجَّه بالاستجابة
2. Bأحجام كبيرة جدًا مهما كانت استجابة المريض
3. Cألبومين وريدي وحده بدل أي محلول بلّوري
4. Dلا سوائل وريدية إطلاقًا، فقط رشفات صغيرة من الماء الفموي

A 76-year-old with a past peptic ulcer needs long-term anti-inflammatory treatment for arthritis. Which plan best reduces GI bleeding risk?

1. ATake the NSAID with a glass of milk instead of food
2. BConsider an alternative; if an NSAID is needed, add a PPI
3. CUse the highest NSAID dose to shorten the course
4. DCombine two different NSAIDs at lower doses