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

Where are venous leg ulcers usually found?

1. AOn the tips of the toes and between the toes
2. BOn the sole of the foot under the heel
3. CAround the inner ankle, in the gaiter area
4. DOn the front of the thigh

What is an escharotomy?

1. ADraining a blister with a needle
2. BA cut through burned, tight skin to relieve pressure
3. CRemoval of the whole limb after a deep, extensive burn
4. DPlacing a skin graft on a burn

On a numerical rating scale for pain, what do 0 and 10 usually mean?

1. A0 is the worst pain and 10 is no pain at all
2. BThe numbers show how many hours the pain has lasted
3. C0 is no pain and 10 is the worst pain imaginable
4. D0 is mild pain and 10 is moderate pain

Why are antimotility drugs such as loperamide avoided in C. difficile infection?

1. AThey may keep toxin in the bowel and risk toxic megacolon
2. BThey cause serious liver failure in most patients who take them
3. CThey make the stool sample test positive falsely
4. DThey kill the normal bowel bacteria

Why are patients with diabetes often placed early on the operating list?

1. ABecause they need to go home before midday
2. BBecause their surgery always takes longer than others
3. CTo shorten fasting and reduce swings in blood glucose
4. DBecause their wounds heal faster in the morning

Why is IV albumin often given after a large-volume paracentesis?

1. ATo prevent low blood pressure and kidney injury from fluid shifts
2. BTo raise the blood glucose after the procedure
3. CTo treat infection in the ascitic fluid
4. DTo replace the clotting factors and platelets lost in the drained fluid

On day 5 after a major burn, a patient is confused, with a temperature of 39,2 °C, tachycardia, and an offensive, discoloured wound. What should the nurse suspect?

1. AThe normal hypermetabolic response alone
2. BDelirium from boredom on the ward
3. CAn allergy to the dressing only
4. DBurn wound infection with sepsis

A patient with three fractured ribs is taking shallow breaths because of pain. Why is effective analgesia a priority?

1. ARib pain always means the heart is damaged
2. BShallow breathing can lead to atelectasis and pneumonia
3. CPain relief is only needed for the patient's comfort
4. DGood analgesia makes rib fractures heal fully within a few days