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

أيّ علامة توحي بالتهاب الصفاق لدى مريض يخضع لغسيل الكلى الصفاقي؟

1. Aسائل مصرَّف عكر مع ألم في البطن
2. Bسائل مصرَّف صافٍ بلون القش
3. Cتصريف سائل أقل قليلًا من المعتاد بعد فترة مكوث
4. Dعطش خفيف بعد فترة مكوث طويلة

Which ECG change is typical of hyperkalaemia?

1. AProminent U waves
2. BFlattened T waves
3. CTall, peaked T waves
4. DA shortened PR interval

In peritoneal dialysis, what acts as the dialysis membrane?

1. AThe lining of the abdominal cavity
2. BThe wall of the bladder
3. CA filter in a machine outside the body
4. DThe lining of the stomach

A patient with a spinal cord injury can still feel a light touch around the anus. What does this show?

1. AThe patient has an injury of the brain, not the cord
2. BThe sensation is only a spinal reflex and has no real meaning for recovery
3. CThe injury is incomplete, which suggests a better chance of recovery
4. DThe injury is complete, and recovery is not possible

A urine dipstick is positive for nitrites. What does this suggest?

1. AThe kidneys are losing too much protein
2. BThe urine has a lot of glucose in it
3. CThe patient is dehydrated and needs more fluid
4. DBacteria that convert nitrate are present

A patient with a new ileal conduit has threads of mucus in their urine. What should the nurse explain?

1. AThis proves a serious kidney infection
2. BThis is a sign that the stoma is dying
3. CThis is normal, because the conduit is made from bowel
4. DThe kidneys have stopped working properly after surgery

A patient on carbamazepine is admitted confused, with a sodium of 121 mmol/L. Which explanation is most likely?

1. AThe low sodium proves the patient has stopped taking the drug
2. BConfusion is a normal, expected effect of carbamazepine and is unrelated to sodium
3. CCarbamazepine can cause hyponatraemia through an SIADH-like effect
4. DCarbamazepine causes salt loss through severe diarrhoea

Two days after a spinal cord injury, a patient has a swollen abdomen, no bowel sounds and is vomiting. What is most likely, and what is the nursing action?

1. AAn allergic reaction to food, so give an antihistamine
2. BParalytic ileus, so keep nil by mouth and prepare for an NG tube
3. CA full bladder, so encourage oral fluids
4. DNormal constipation, so give a large meal to stimulate the bowel