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

What is the purpose of anti-embolism stockings for surgical patients?

1. ATo keep the legs warm in theatre
2. BTo prevent pressure ulcers on the heels
3. CTo reduce the risk of deep vein thrombosis
4. DTo lower the blood pressure after surgery

Which feature is typical of Crohn's disease?

1. AIt can affect any part of the gut, with normal bowel in between
2. BIt affects only the rectum and colon, in one continuous stretch
3. CIt affects only the stomach lining and causes ulcers there
4. DIt affects only the liver and bile ducts

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

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

Which risk is particularly linked with tramadol?

1. ASevere stomach ulcers in all patients
2. BHigh blood pressure that needs emergency treatment in most patients
3. CRapid liver failure at normal doses
4. DSerotonin syndrome with some antidepressants, and seizures

أيّ نصيحة غذائية تقلّل خطر الانسداد مع فغر لفائفي جديد؟

1. Aبلع الطعام بسرعة دون مضغه كثيرًا
2. Bالمضغ الجيد، وإدخال الأطعمة الليفية ببطء
3. Cشرب سوائل قليلة جدًا لإبقاء الخرج سميكًا
4. Dتناول كميات كبيرة من المكسرات والبذور من اليوم الأول

Which patient is at highest risk of refeeding syndrome?

1. AAn underweight patient who has eaten very little for 10 days
2. BA healthy adult after an overnight fast for minor surgery
3. CA patient who missed one lunch because of a scan
4. DA patient with a normal BMI eating three meals a day

A nurse teaches a patient with chronic pancreatitis. Which statement shows a need for further teaching?

1. A"I'll report increased thirst or passing urine more often."
2. B"I'll take my enzyme capsules at bedtime."
3. C"I should not drink any alcohol."
4. D"Oily, floating stools may mean my dose needs changing."

Why is folinic acid (leucovorin) given after high-dose methotrexate?

1. ATo prevent hair loss during treatment
2. BTo rescue normal cells from methotrexate toxicity
3. CTo increase the anticancer effect on the tumour
4. DTo treat the patient's anaemia only