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

Which statement describes moderate ("conscious") sedation?

1. AThe patient cannot be roused by any stimulus, even a painful one
2. BThe patient is fully alert and anxious
3. CThe patient is drowsy but responds to voice or light touch
4. DThe patient needs a ventilator to breathe

Which drug reverses the effects of opioids?

1. ANaloxone
2. BVitamin K
3. CFlumazenil
4. DProtamine

أين يُحَس ألم التهاب البنكرياس الحاد عادةً؟

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

When is cold therapy most useful for pain?

1. ADirectly on skin with poor circulation
2. BSoon after an acute soft tissue injury, to reduce swelling
3. COver numb areas where sensation is lost
4. DFor long-term muscle stiffness, applied continuously for several hours

Which statement correctly describes physical dependence on opioids?

1. AThe drug no longer has any side effects
2. BThe patient always craves the drug and misuses it despite harm
3. CThe patient is allergic to opioids
4. DWithdrawal occurs if the drug is stopped suddenly

In the UK National Early Warning Score (NEWS2), what does an aggregate score of 5 or more usually trigger?

1. ADischarge planning for the next day
2. BRoutine observations once every 12 hours, with no other change in care
3. CNo change unless the patient complains
4. DAn urgent review by a clinician skilled in acute illness

A patient with a PICC line develops swelling and aching of the same arm and prominent veins on the chest. What should the nurse suspect?

1. AA catheter-related deep vein thrombosis
2. BAn allergy to the dressing
3. CNormal swelling after line insertion
4. DLymphoedema from a previous operation

On day 2 of nasogastric feeding, a severely malnourished patient becomes weak and breathless with ankle swelling. Phosphate is 0,4 mmol/L. What is most likely?

1. AToo little calorie intake
2. BAn allergy to the feed formula
3. CRefeeding syndrome
4. DNormal adjustment to the new feed