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

How should a peritoneal dialysis catheter exit site be cared for?

1. ACovered with a tight bandage and not looked at for a week
2. BSoaked in a hot bath every day
3. CKept clean and dry and checked daily for redness
4. DCleaned with a strong bleach solution

Which statement about adult polycystic kidney disease is correct?

1. AIt is caused by repeated urinary infections
2. BIt is caused by drinking too little water
3. CIt only ever affects one of the two kidneys
4. DIt is inherited, and cysts slowly enlarge both kidneys

أيّ اختبار بسيط يُستخدم لفحص أقدام مرضى السكري بحثًا عن فقدان الإحساس الواقي؟

1. Aفحص زمن عودة امتلاء الشعيرات في الأصابع
2. Bقياس سكر الدم الشعري على إصبع القدم
3. Cقياس محيط الربلة
4. Dلمس باطن القدم بخيط أحادي (monofilament) 10 g

Why are patients on haemodialysis vaccinated against hepatitis B?

1. AThe vaccine lowers the potassium level
2. BHepatitis B vaccine improves the fistula flow
3. CThe vaccine is needed to make the dialyser work
4. DShared dialysis units carry a higher infection risk

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

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

Which nursing action helps most to prevent and manage delirium in an older inpatient?

1. ARestrain the patient so that they do not wander off the ward
2. BMove the patient to a different room each day for variety
3. CUse glasses and hearing aids and reorient the patient often
4. DKeep the lights on all night so the patient can see clearly

The night after hip surgery, an 84-year-old becomes suddenly confused and tries to pull out their IV line. What is the most appropriate first step?

1. ATell the family that this is the start of dementia
2. BLook for causes such as low oxygen, pain, retention or infection
3. CAsk for a strong sedative so that the patient can sleep
4. DApply wrist restraints to protect the IV line

مريض في سترة هالو لكسر في العمود الفقري العنقي يصاب بتوقف قلب. ما الذي يجب أن يتوافر فورًا؟

1. Aالأداة اللازمة لفتح مقدمة السترة للإنعاش القلبي الرئوي
2. Bوسادة لرفع الرأس والكتفين
3. Cمقص لقطع دبابيس الجمجمة
4. Dلوح صلب لإدخاله تحت السترة