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

What is a common complication after a lumbar puncture?

1. AA headache that is worse when sitting or standing
2. BPermanent paralysis of both legs from nerve damage
3. CLoss of hearing in one ear
4. DA rapid rise in blood glucose

Why should people with diabetic neuropathy avoid walking barefoot?

1. ABare feet lose too much heat through the skin
2. BThey may not feel an injury, so it can go unnoticed
3. CInsulin is absorbed less well from the feet and the legs
4. DWalking barefoot raises the blood glucose

Which equipment should be ready at the bedside of a patient on seizure precautions?

1. AWrist restraints to stop the limbs jerking
2. BWorking suction and oxygen
3. CA tongue depressor to place between the teeth
4. DA urinary catheter in case of incontinence

A patient with multiple sclerosis says their symptoms get worse after a hot bath. What should the nurse explain?

1. AThis shows that the disease has entered a new progressive stage
2. BHot baths cause new areas of damage in the brain
3. CHeat can briefly worsen MS symptoms, which settle when they cool down
4. DThey should take very cold baths to reverse the damage

How does bladder training help urge incontinence?

1. AThe patient drinks as little as possible
2. BThe time between voids is slowly increased
3. CThe patient goes to the toilet every 15 minutes
4. DA catheter is used every night

Before checking a capillary glucose, why should the patient wash their hands with soap and water?

1. AWashing lowers the glucose in the blood
2. BSugar on the skin can give a falsely high reading
3. CWashing prevents all infection from the lancet
4. DSoap makes the blood flow faster from the finger

مسنّ مصاب بالسكري من النوع 2 لديه غلوكوز 48 mmol/L وأسمولية 365 mOsm/kg دون كيتونات مهمة وتشوش. ما الأولوية الأولى؟

1. Aجرعة إنسولين وريدية كبيرة لخفض الغلوكوز إلى الطبيعي خلال ساعة
2. Bغلوكوز فموي لمنع نقص سكر الدم أثناء العلاج
3. Cسوائل وريدية بحذر مع فحوص متكررة للأسمولية والصوديوم والغلوكوز
4. Dتقييد صارم للسوائل لتجنب الوذمة الدماغية

On day 6 after a subarachnoid haemorrhage, a patient becomes newly confused and develops weakness in one arm. The aneurysm was secured on day 1. What is the most likely cause?

1. ANormal tiredness after major surgery
2. BHypoglycaemia from reduced eating
3. CDelayed cerebral ischaemia from vasospasm
4. DRe-bleeding from the secured aneurysm