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

Which symptoms are typical early warning signs of hypoglycaemia?

1. AThirst, dry skin and passing a lot of urine
2. BDeep, rapid breathing with a fruity breath smell
3. CShaking, sweating, hunger and a fast heartbeat
4. DSlow pulse, constipation and feeling cold

Why is dexamethasone often given to patients with a brain tumour?

1. ATo prevent infection after a biopsy
2. BTo raise the blood pressure
3. CTo kill the tumour cells directly
4. DTo reduce swelling around the tumour

Which common painkiller can harm the kidneys, especially in dehydration?

1. AMorphine
2. BParacetamol (acetaminophen)
3. CIbuprofen
4. DCodeine

Why is once-daily prednisolone usually taken in the morning with food?

1. ABecause food doubles the strength of the dose
2. BBecause it cannot be absorbed at night
3. CTo match the natural cortisol rhythm and protect the stomach
4. DBecause it causes drowsiness and is safer to take during the day

Why is pyridostigmine often taken about 30–60 minutes before meals by patients with myasthenia gravis?

1. ATo improve the strength of chewing and swallowing at mealtimes
2. BTo stop the drug from irritating an empty stomach later on
3. CTo reduce stomach acid so the food is digested better
4. DTo lower the blood glucose rise after eating a meal

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

1. AStiffness when getting out of bed
2. BMild pain at the wound site
3. CA dry, intact wound dressing
4. DNew weakness or numbness in the legs

يصل مريض يُشتبه في إصابته بسكتة بعد ساعتين من البدء. سكر الدم الشعري 2,4 mmol/L (43 mg/dL). ماذا ينبغي أن يحدث بعد ذلك؟

1. Aتجاهل الغلوكوز لأنه غير ذي صلة بتقييم السكتة
2. Bإعطاء حلّ الخثرة فورًا دون مزيد من الفحوص
3. Cإعطاء إنسولين وريدي لحماية خلايا الدماغ
4. Dمعالجة انخفاض الغلوكوز وإعادة تقييم العلامات العصبية

The day after a lumbar puncture, a patient has a headache that is severe when standing and almost gone when lying flat. Temperature and neck movement are normal. What is the most likely cause?

1. ABacterial meningitis from the procedure
2. BPost-dural puncture headache
3. CA subarachnoid haemorrhage
4. DA migraine triggered by stress