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

Which features are typical of a superficial partial-thickness burn?

1. ADry, white, leathery skin with no pain
2. BRedness only, with no blisters, like sunburn
3. CCharred skin with exposed muscle and bone
4. DBlisters, a moist pink base and severe pain

Which signs suggest early hypovolaemic shock after surgery?

1. AHigh blood pressure with a fast, bounding pulse
2. BRising heart rate, cool skin and slow capillary refill
3. CNormal pulse with heavy sweating only after meals
4. DSlow heart rate, flushed skin and warm hands

Why is a temporary loop ileostomy often formed after a low bowel resection?

1. ATo divert stool while the join further down heals
2. BTo drain urine from the kidneys
3. CTo let the patient eat without chewing
4. DTo remove the whole colon permanently in a single operation

Why is a gastrostomy tube with an internal bumper usually advanced and rotated regularly once the tract has healed?

1. ATo check that the patient is still hungry
2. BTo stop the inner bumper becoming buried in the stomach wall
3. CTo make the tube longer as the patient grows or gains weight
4. DTo remove any feed left in the stomach

Before an anti-TNF biologic such as infliximab is started for Crohn's disease, which screening is essential?

1. AScreening for tuberculosis
2. BA bone density scan
3. CA test of colour vision
4. DA test for coeliac disease

Which is a recognised side effect of ondansetron?

1. AConstipation
2. BSevere hypoglycaemia
3. CHearing loss
4. DHair loss

A competent adult who is a Jehovah's Witness refuses blood transfusion before major surgery. What should the nurse do?

1. APlan to transfuse secretly during the operation if it becomes needed
2. BRespect the decision, document it and inform the team
3. CCancel the surgery without discussing it
4. DAsk the family to override the decision

A few hours after thyroid surgery, a patient's neck swells rapidly and they become short of breath with stridor. What is most likely?

1. AAn allergy to the wound dressing
2. BLow blood calcium from the surgery
3. CA haematoma pressing on the airway
4. DNormal swelling after neck surgery