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

Which electrolyte typically falls in refeeding syndrome?

1. AChloride
2. BCalcium
3. CSodium
4. DPhosphate

Which lifestyle advice helps reduce night-time reflux symptoms?

1. ANo food for 3 hours before bed, with the head of the bed raised
2. BDrink a large glass of fizzy water before lying down
3. CSleep flat on several pillows placed under the knees
4. DHave the largest meal of the day just before going to bed to aid sleep

Which sign is typical of hepatic encephalopathy?

1. AA stiff neck with sensitivity to light
2. BA fine rash over the chest and arms
3. CA flapping tremor of the outstretched hands
4. DA drooping eyelid on one side

Why are patients with large burns at risk of hypothermia?

1. ATheir metabolism stops after the injury
2. BBurns always cause a low thyroid hormone level in the blood
3. CThe fluids given are always chilled
4. DLoss of skin reduces their ability to keep in heat

Why should metoclopramide not be used for nausea in mechanical bowel obstruction?

1. AIt makes the bowel stop moving completely
2. BIt increases gut movement against the blockage
3. CIt blocks the effect of all opioids
4. DIt always causes severe diarrhoea

Why is blood lactate measured when sepsis is suspected?

1. AIt replaces the need for blood cultures
2. BIt measures the effect of antibiotics on the kidney
3. CIt shows which bacteria are causing the infection
4. DA raised level suggests poor tissue perfusion

Four patients are on a gastroenterology ward. Which should the nurse see first?

1. AA patient with GORD who wants an antacid
2. BA patient with cirrhosis who is newly confused and drowsy
3. CA patient with an ileostomy waiting to change the pouch
4. DA patient with stable ulcerative colitis asking about diet

A surgical patient's MUST score is 3 and the wound is healing slowly. What is the most appropriate action?

1. ARepeat the score in three months' time
2. BRefer to the dietitian, start a nutrition plan and monitor intake
3. CRestrict protein to help the kidneys
4. DEncourage fasting to reduce wound exudate and the size of the dressing