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

Which signs suggest a surgical site infection?

1. AA dry wound edge with a thin scab
2. BMild bruising around the wound that is fading a little each day
3. CMild itching as the wound heals
4. DIncreasing pain, redness, swelling, heat and pus

When should pain be reassessed after giving analgesia?

1. ANever, as one assessment is enough
2. BWhen the drug is expected to have taken effect
3. COnly if the patient asks for more analgesia
4. DOnly at the next routine observation round the next day

How is the length of a nasogastric tube usually estimated before insertion?

1. AFrom the chin to the umbilicus in a straight line
2. BAny length, as long as the whole tube is inserted
3. CFrom the mouth to the knee on the same side of the body
4. DFrom the nose tip to the earlobe, then to the xiphisternum

Which initial treatment is usual for symptomatic hypercalcaemia of malignancy?

1. AFluid restriction and a thiazide diuretic
2. BA high-calcium diet with extra milk
3. COral calcium tablets and vitamin D
4. DIV fluids followed by an IV bisphosphonate

What is TENS?

1. AA type of epidural catheter inserted in theatre
2. BA device that sends mild electrical pulses through skin pads
3. CA pain score used for babies
4. DA strong opioid given through the skin as a weekly adhesive patch

How should pancreatic enzyme replacement capsules usually be taken?

1. AOnce a day at bedtime
2. BOnly on days with abdominal pain
3. CWith every meal and snack
4. DOne hour after meals, on an empty stomach

A patient on modified-release morphine for cancer pain has needed four breakthrough doses every day for several days. What should the nurse do?

1. ATell the patient to put up with the pain between doses
2. BGive all breakthrough doses at the same time
3. CStop the breakthrough doses to reduce opioid use
4. DReport it, as the regular background dose may need review

Just after extubation in recovery, a patient develops a high-pitched noise on breathing in, with falling SpO₂. What should the nurse do first?

1. ACall for help, give 100% oxygen and use a jaw thrust
2. BWait a few minutes to see if it passes
3. CGive an opioid to calm the patient's breathing and reduce anxiety
4. DSit the patient up and give a drink of water