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

If hair must be removed before surgery, which method is recommended?

1. AA razor shave the night before surgery
2. BElectric clippers on the day of surgery
3. CPulling the hairs out with tweezers
4. DA wax strip several days before surgery

Which drug reverses the effects of opioids?

1. AFlumazenil
2. BNaloxone
3. CVitamin K
4. DProtamine

What is an anastomosis in bowel surgery?

1. AAn opening of the bowel onto the skin
2. BA surgical join between two ends of bowel
3. CA drain placed beside the bowel
4. DA tube placed in the bowel for feeding

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

1. ARinging in the ears
2. BItching
3. CIncreased hunger
4. DHair growth

Why are carbohydrate drinks often given before surgery in enhanced recovery programmes?

1. ATo replace the need for any IV fluids afterwards
2. BTo reduce insulin resistance and improve recovery
3. CTo make the bowels open before the operation
4. DTo raise the blood pressure during the anaesthetic

How should a patient use an incentive spirometer after surgery?

1. ABlow out as hard and as fast as possible
2. BUse it once a day, just before going to sleep at night
3. CBreathe quickly in and out ten times in a row
4. DBreathe in slowly and deeply, then hold briefly

A patient with cirrhosis takes spironolactone and furosemide. Which blood result should the nurse report before the next dose?

1. ASodium 141 mmol/L
2. BPotassium 4,2 mmol/L
3. CPotassium 6,0 mmol/L
4. DSodium 138 mmol/L

يصاب مريض مصاب بانسداد الأمعاء بألم شديد ثابت (لم يعد مغصيًا) وحمى ومعدل قلب 120/min وبطن متيبس مؤلم. ماذا يوحي ذلك؟

1. Aاختناق أو انثقاب يتطلب مراجعة جراحية عاجلة
2. Bتقدم طبيعي لا يحتاج إلا إلى مسكن بسيط منتظم
3. Cالانسداد يزول مع بدء حركة الأمعاء
4. Dإمساك ينبغي علاجه بملين منبه