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

من المسؤول عن الحصول على الموافقة المستنيرة للجراحة؟

1. Aكاتب القسم الذي يرتب إدخال المريض
2. Bأقرب أقارب المريض، أو أقرب قريب موجود
3. Cالطبيب الذي سيجري الإجراء، أو مفوَّض مدرَّب
4. Dأي موظف متفرغ في ذلك الوقت

Which two sites are most common for pressure ulcers in patients lying in bed?

1. AThe palms and the forehead
2. BThe forearms and the knees
3. CThe sacrum and the heels
4. DThe thighs and the upper arms

Radiotherapy to the pelvis commonly causes which side effects?

1. ADiarrhoea and frequent, painful passing of urine
2. BCough and breathlessness
3. CDry mouth and changes in taste for many months afterwards
4. DHair loss from the scalp

How should a patient with facial burns usually be positioned?

1. ALying face down on the pillow to protect the airway
2. BIn any position that keeps the face covered
3. CWith the head of the bed raised to reduce swelling
4. DLying flat with the head lower than the feet

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

A patient on warfarin is booked for elective surgery with a high bleeding risk. What is usual practice?

1. ATake the usual dose on the morning of surgery
2. BStop it about 5 days before and check the INR
3. CSwap to aspirin on the morning of surgery
4. DDouble the dose for a week so the blood is ready for surgery

A patient with long-standing chronic pancreatitis now has weight loss, thirst and passing large volumes of urine. What should the nurse check first?

1. APeak expiratory flow
2. BAbdominal girth
3. CCapillary blood glucose
4. DSerum amylase level

An hour after a line flush, a patient receiving parenteral nutrition has rigors and a temperature of 39,1 °C. What should the nurse suspect and do?

1. ALow blood glucose; give a sugary drink
2. BA normal reaction; give paracetamol and continue the infusion
3. CLine infection; escalate and take blood cultures
4. DFluid overload; reduce the infusion rate only