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

What is an incisional hernia?

1. AA pouch in the wall of the colon
2. BA bulge through a weakened surgical scar
3. CA bulge of stomach through the diaphragm
4. DA swelling in the groin present from birth

Which feature is typical of ulcerative colitis?

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

Which signs suggest early hypovolaemic shock after surgery?

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

Why are antiemetics usually given before chemotherapy starts?

1. AThey cannot be given once nausea has started
2. BAntiemetics make the chemotherapy work better
3. CPreventing nausea works better than treating it later
4. DThey stop the chemotherapy from causing hair loss and mouth sores

ما الغرض من فاصل الإغلاق (lockout interval) في مضخة PCA؟

1. Aيمنع جرعة جديدة قبل أن تعمل الأخيرة
2. Bيقفل المضخة فلا يمكن تغيير المحقنة
3. Cيمنع المريض من تلقي أي جرعات ليلًا
4. Dيجعل المريض ينتظر يومًا بين الجرعات الكبيرة

ما العلوص الشللي (paralytic ileus)؟

1. Aعدوى في جدار الأمعاء مع حمى
2. Bفقدان حركة الأمعاء دون انسداد مادي
3. Cانسداد لمعة الأمعاء بورم
4. Dالتواء في الأمعاء الغليظة يقطع تروية الدم عنها

A patient has sharp, tearing pain on passing stool, "like passing glass", with a streak of fresh blood. Which condition is most likely?

1. AAnal fissure
2. BCrohn's disease of the ileum
3. CColorectal cancer
4. DUpper GI bleeding

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

1. AThiamine supplements
2. BLactulose to keep the bowels open
3. CSpironolactone for ascites
4. DRegular ibuprofen for back pain