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

كيف يختلف خرج فغر اللفائفي عادةً عن خرج فغر القولون السيني؟

1. Aكلاهما ينتج براز مُشكَّل مرة في اليوم
2. Bخرج فغر اللفائفي سائل؛ وخرج فغر القولون مُشكَّل
3. Cخرج فغر اللفائفي مُشكَّل؛ وخرج فغر القولون سائل
4. Dكلاهما ينتج غازًا ومخاطًا فقط

ما الغرض من قائمة منظمة الصحة العالمية للسلامة الجراحية؟

1. Aإدراج تدريب الجراح وخبرته
2. Bاستبدال الموافقة المستنيرة للعمليات المخططة
3. Cضمان إجراء فحوص السلامة الأساسية قبل الجراحة وأثناءها وبعدها
4. Dتسجيل ما يرغب المريض في أكله وشربه بعد الجراحة

What is the main purpose of marking the surgical site before an operation?

1. ATo show where the skin should be shaved
2. BTo tell the porter which theatre to go to
3. CTo record the patient's allergy status
4. DTo prevent surgery on the wrong side or site

Why are carbohydrate drinks often given before surgery in enhanced recovery programmes?

1. ATo reduce insulin resistance and improve recovery
2. BTo replace the need for any IV fluids afterwards
3. CTo raise the blood pressure during the anaesthetic
4. DTo make the bowels open before the operation

Which description fits a category (stage) 4 pressure ulcer?

1. AA shallow wound into the dermis only
2. BA blister filled with clear fluid over the heel or sacrum
3. CFull-thickness loss with exposed bone, tendon or muscle
4. DIntact skin with redness that does not blanch

Why is an ankle-brachial pressure index (ABPI) measured before compression bandaging for a leg ulcer?

1. ATo exclude significant arterial disease
2. BTo check for a leg bone fracture
3. CTo find the bacteria in the wound
4. DTo find out how deep the ulcer is

A 62-year-old with known reflux reports burning central chest pain with sweating and breathlessness that began while walking. What should the nurse do first?

1. ARecord a 12-lead ECG and escalate as possible cardiac pain
2. BBook a routine endoscopy for later in the week
3. CAdvise the patient to avoid spicy food at future meals
4. DGive an antacid and reassess the pain in an hour

A patient with active cancer on chemotherapy develops new swelling and pain in one calf. Why must this be reported promptly?

1. ACancer and its treatment greatly increase clot risk
2. BCalf swelling is a normal effect of chemotherapy
3. CIt is only a muscle strain from walking
4. DThe swelling shows the cancer has gone