ورقة عمل التمريض الباطني الجراحي: الأعصاب والغدد الصماء والكلى مع الإجابات

A febrile patient has a rash that does not fade when a glass is pressed against it. What should the nurse suspect?

1. AMeningococcal septicaemia
2. BHeat rash from a high temperature
3. CAn allergic reaction to soap
4. DA simple viral skin rash

Which symptoms in a patient with back pain suggest cauda equina syndrome?

1. AMild stiffness in the morning that soon wears off
2. BBack pain that eases when walking around the house
3. CPain that is worse after a long day at work
4. DNumbness between the legs and new bladder problems

In countries with enough iodine in the diet, what is the most common cause of hypothyroidism?

1. AAutoimmune thyroiditis (Hashimoto's)
2. BA pituitary tumour pressing on the gland
3. CToo much iodine in salt
4. DThyroid cancer

Which measure best prevents catheter-associated urinary tract infection?

1. AKeep the drainage bag above bladder level
2. BRemove the catheter as soon as it is no longer needed
3. CChange the catheter for a new one every day
4. DDisconnect the bag regularly to empty it

مريض مصاب بـ AKI لديه قسطرة بولية لا تصرّف شيئًا. أيّ فحص سريع عند السرير يساعد على استبعاد سبب بعد كلوي؟

1. Aفحص القسطرة بحثًا عن التواءات أو انسداد وإجراء مسح للمثانة
2. Bتشجيع المريض على شرب لترين من الماء
3. Cإعطاء جرعة كبيرة من السوائل الوريدية فورًا
4. Dإرسال عينة بول للزرع وانتظار نتيجة المختبر

أيّ معيار للأذية الكلوية الحادة (KDIGO) يتعلق بإدرار البول؟

1. Aأقل من 2 mL/kg/h لمدة ساعة واحدة
2. Bأي تغيير في لون البول
3. Cأقل من 0,5 mL/kg/h لمدة 6 ساعات أو أكثر
4. Dأقل من 1 L خلال 24 ساعة مهما كان المأخوذ

A patient with type 1 diabetes has a seizure on the ward. Their capillary glucose is 1,9 mmol/L (34 mg/dL). They cannot swallow. What is the most appropriate treatment?

1. AA rapid-acting insulin dose to stabilise the glucose
2. BIV glucose or IM glucagon, then recheck the glucose
3. CGlucose gel squeezed into the mouth during the seizure
4. DAn antiepileptic drug only, because seizures need seizure treatment

A man with chronic urinary retention is catheterised. Over the next hours he passes very large volumes of urine. What is the main nursing concern?

1. AFluid and electrolyte loss from post-obstructive diuresis
2. BA urinary infection caused by the high flow of urine
3. CRupture of the bladder from the catheter
4. DA rise in blood glucose from the urine