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

Which sign suggests acute cholecystitis?

1. APain in the left lower abdomen when the right side is pressed
2. BBruising around the umbilicus and over both flanks of the abdomen
3. CPain that stops a deep breath when the right upper abdomen is pressed
4. DA flapping tremor of the hands when the arms are held out

Which feature is typical of ulcerative colitis?

1. APatchy inflammation anywhere from mouth to anus
2. BInflammation limited to the oesophagus
3. CInflammation of the full thickness of the small bowel
4. DContinuous inflammation starting at the rectum

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 remove the whole colon permanently in a single operation
3. CTo drain urine from the kidneys
4. DTo let the patient eat without chewing

أيّ عبارة عن التغذية في التهاب البنكرياس الحاد الخفيف تتوافق مع الإرشادات الحالية؟

1. Aيمكن استئناف التغذية الفموية مبكرًا بمجرد أن يسمح الألم والغثيان
2. Bيجب أن يبقى المرضى صائمين عن الفم ثلاثة أسابيع على الأقل لإراحة البنكرياس
3. Cيُمنع الطعام حتى يعود الأميلاز إلى الطبيعي
4. Dينبغي تغذية المرضى بالتغذية الوريدية فقط

Which statement about pain relief in acute pancreatitis is correct?

1. AOpioids must never be used in pancreatitis
2. BOpioids can be used, and good analgesia is a priority
3. CPain relief should be withheld until the diagnosis is certain
4. DOnly paracetamol may be given

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

1. AOnly clear fluids for several weeks
2. BNo food at all until the confusion settles
3. CA very low-protein diet for the rest of their life to lower ammonia
4. DNormal protein and enough calories, with a late-evening snack

Which new prescription for a patient with cirrhosis should the nurse question?

1. ALactulose to keep the bowels open
2. BRegular ibuprofen for back pain
3. CThiamine supplements
4. DSpironolactone for ascites

A patient's ileostomy output is 2,5 L a day. They feel tired and dizzy and are drinking large amounts of water. Which advice is usually appropriate?

1. ALimit plain drinks and use an oral rehydration solution
2. BDrink even more plain water and tea to replace the losses
3. CEat only fruit and fruit juice
4. DStop all drinking for 24 hours