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

أيّ إجراء يجب تجنبه على الذراع التي فيها ناسور غسيل الكلى الدموي؟

1. Aتحريك الذراع بشكل طبيعي
2. Bأكمام قياس ضغط الدم أو أخذ عينات الدم
3. Cغسله بالماء والصابون
4. Dالتحسس برفق فوق الناسور لإيجاد الرجفة

Which three responses make up the Glasgow Coma Scale?

1. APupil size, pulse and blood pressure
2. BEye opening, verbal response and motor response
3. CReflexes, muscle tone and sensation
4. DOrientation to time, place and person, plus memory

What is the most common cause of intrinsic (renal) acute kidney injury in hospital?

1. AKidney stones
2. BAcute tubular necrosis
3. CAn enlarged prostate
4. DPolycystic kidney disease

Which action is part of an effective bowel programme after a spinal cord injury?

1. AUsing strong laxatives only when the bowel has not opened for a week
2. BA routine at the same time each day, often after a meal
3. CAvoiding fibre to prevent bloating
4. DRestricting fluids to reduce the volume of stool

During continuous bladder irrigation, 3200 mL drains out in a shift. 2500 mL of irrigation fluid was put in. What is the true urine output?

1. A2500 mL
2. B5700 mL
3. C3200 mL
4. D700 mL

A patient is starting nitrofurantoin for a UTI. Which teaching point is correct?

1. AIt should be taken on an empty stomach with milk
2. BIt must be taken only once a week
3. CIt may turn the urine dark yellow or brown
4. DIt turns the tears and sweat bright orange

A patient with polycystic kidney disease suddenly has the worst headache of their life and neck stiffness. What should the nurse suspect?

1. AA migraine linked to high blood pressure
2. BA urinary infection that has spread
3. CA subarachnoid haemorrhage from a brain aneurysm
4. DPain spreading upwards from a kidney cyst

A patient with a long-term catheter has fever and rigors, and a catheter UTI is suspected. Which action is recommended before starting antibiotics?

1. AReplace the catheter and take a sample from the new one
2. BRemove the catheter and leave it out permanently
3. CFlush the catheter with saline and continue
4. DTake a sample from the drainage bag and send it to the lab