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

أيّ السمات نموذجية لداء أديسون (القصور الكظري الأولي)؟

1. Aعدم تحمل الحرارة والرعشة وجحوظ العينين
2. Bزيادة الوزن وارتفاع ضغط الدم وتشققات أرجوانية
3. Cارتفاع صوديوم الدم وانخفاض بوتاسيوم الدم
4. Dالتعب ونقص الوزن وانخفاض ضغط الدم وسمرة الجلد

Which hourly urine output is usually taken as the minimum acceptable for an adult?

1. AAbout 5 mL/kg per hour
2. BAbout 0,05 mL/kg per hour
3. CAbout 10 mL/kg per hour
4. DAbout 0,5 mL/kg per hour

ماذا يخبر الوزن النوعي للبول الممرضةَ؟

1. Aمدى تركيز البول
2. Bكمية البروتين في البول
3. Cهل يحتوي البول على بكتيريا
4. Dكمية الغلوكوز في الدم

A patient receives phenytoin through a nasogastric tube along with continuous enteral feed. Which issue should the nurse know about?

1. AThe feed can reduce phenytoin absorption, so the feed is often paused around the dose
2. BPhenytoin must be crushed and mixed into the feed bag
3. CPhenytoin makes the feed curdle, so the two must never be used in one patient
4. DThe feed increases phenytoin levels and causes toxicity within hours

After a lumbar discectomy, which finding should the nurse report promptly?

1. AA dry, intact wound dressing
2. BNew weakness or numbness in the legs
3. CStiffness when getting out of bed
4. DMild pain at the wound site

Before surgery for a phaeochromocytoma, why is an alpha-blocker started before any beta-blocker?

1. ABeta-blockers given first would make the tumour grow faster
2. BThe order of the two drugs makes no difference
3. CA beta-blocker alone can cause a dangerous rise in BP
4. DAlpha-blockers lower the blood glucose before surgery

A nurse teaches a wheelchair user with a spinal cord injury about skin care. Which statement shows a need for further teaching?

1. A"I only need to check my skin when something hurts."
2. B"I will shift my weight in the chair regularly."
3. C"I will keep my skin clean and dry."
4. D"I will use a mirror to check my bottom and heels every day."

The nurse has four endocrine patients. Which one needs to be seen first?

1. AA patient with hyperthyroidism who is confused, with a temperature of 39,5 °C (103,1 °F)
2. BA patient with hypothyroidism who has been constipated for three days
3. CA patient with Graves' disease asking about radioactive iodine
4. DA patient after thyroidectomy with mild pain on swallowing