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

What is portal hypertension?

1. AHigh pressure inside the skull
2. BRaised pressure in the lungs from heart failure
3. CHigh blood pressure in the arteries of the arms and legs
4. DRaised pressure in the portal venous system to the liver

أين يُحَس ألم التهاب البنكرياس الحاد عادةً؟

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

ما أحد أشيع أسباب تشمع الكبد؟

1. Aنوبة تسمم غذائي واحدة
2. Bتعاطي الكحول الشديد على المدى الطويل
3. Cنظام غذائي غني بالفواكه والألياف
4. Dفقر الدم بنقص الحديد

Why are accurate fluid balance charts kept after major surgery?

1. ATo decide which meal the patient will have next
2. BTo detect dehydration, fluid overload or kidney problems early
3. CTo check how far the patient has walked and how often they get out of bed
4. DTo record when visitors come and go

What does "neoadjuvant" treatment mean?

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

Which statement about giving medicines through a feeding tube is correct?

1. ATubes do not need flushing between medicines
2. BModified-release tablets should not be crushed
3. CMedicines can be added to the bag of feed
4. DAll tablets can be crushed together and given at once

On the morning of elective hip surgery, a patient says she took her usual warfarin last night despite being told to stop. What should the nurse do?

1. AGive a double dose of vitamin K by mouth without waiting for a prescription
2. BProceed with the usual checklist and say nothing
3. CTell her the surgery must be cancelled for a month
4. DInform the surgical and anaesthetic teams, who will check the INR

After a fall, a patient with advanced dementia is agitated, grimacing and guarding the hip, and cannot rate the pain. What should the nurse do?

1. AGive a sedative to treat the agitation and avoid giving any analgesia
2. BUse an observational pain tool, give analgesia and reassess
3. CAssume there is no pain because none is reported
4. DWait until a relative can confirm the pain