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

ما «النقطة الدنيا» (nadir) في العلاج الكيميائي؟

1. Aالوقت الذي تكون فيه تعدادات الدم في أعلى مستوياتها بعد دورة علاجية
2. Bالوقت الذي تكون فيه تعدادات الدم في أدنى مستوياتها بعد دورة علاجية
3. Cاليوم الأول من دورة علاج كيميائي جديدة
4. Dاليوم الأخير من دورة العلاج الإشعاعي

What is brachytherapy?

1. ASurgery to remove a tumour through a small incision
2. BChemotherapy given slowly into a vein over several hours each day
3. CRadiotherapy from a sealed source placed in or next to the tumour
4. DRadiotherapy given by a machine from outside the body

What is the main aim of palliative care?

1. AImproving quality of life for people with serious illness
2. BCuring the disease at any cost, whatever the side effects
3. CReplacing all other medical treatment
4. DOnly providing care in the last hour of life

Which factor can precipitate hepatic encephalopathy in a patient with cirrhosis?

1. ARegular gentle walking
2. BConstipation
3. CA high fluid intake
4. DA low-salt diet

Which statement about corticosteroids in inflammatory bowel disease is correct?

1. AThey are the best long-term maintenance treatment
2. BThey cure the disease after one course
3. CThey are given only as a one-off injection
4. DThey are used to induce remission, not for maintenance

Why is a pregnancy test often done before surgery in women who could be pregnant?

1. AIt is needed to calculate the anaesthetic drug dose
2. BPregnant women cannot sign consent forms
3. CPregnancy always makes surgery impossible
4. DAnaesthesia, drugs and some tests may harm a fetus

Which medicine commonly needs enteral feeds paused before and after each dose because the feed reduces its absorption?

1. AOmeprazole liquid
2. BParacetamol
3. CLactulose
4. DPhenytoin

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. AAssume there is no pain because none is reported
2. BWait until a relative can confirm the pain
3. CUse an observational pain tool, give analgesia and reassess
4. DGive a sedative to treat the agitation and avoid giving any analgesia