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

أيّ إنسولين يُسحب أولًا عند مزج إنسولين قصير المفعول وإنسولين متوسط المفعول (NPH، عكر) في محقنة واحدة؟

1. Aالإنسولين القصير المفعول الصافي، ثم الإنسولين العكر
2. Bالإنسولين العكر، ثم الإنسولين القصير المفعول الصافي
3. Cبأي ترتيب، فلا فرق
4. Dكلاهما معًا، بعد مزجهما في قارورة واحدة

How is the headache of a subarachnoid haemorrhage typically described?

1. AOne-sided and throbbing, with an aura beforehand
2. BSudden and severe, reaching its peak within about a minute
3. CSlowly worsening over several weeks, worst in the morning
4. DA tight band around the head that comes and goes

Which head injury is classically linked to a lucid interval after a blow to the side of the head?

1. AConcussion
2. BExtradural haematoma
3. CDiffuse axonal injury
4. DChronic subdural haematoma

كيف ينبغي تسخين سائل الغسيل الصفاقي قبل الاستخدام؟

1. Aيجب استخدامه باردًا من الثلاجة
2. Bفي وعاء من ماء الصنبور الساخن
3. Cفي فرن الميكروويف
4. Dفي مسخّن حراري جاف مخصص

An 80-year-old with angina is diagnosed with hypothyroidism. How is levothyroxine usually started?

1. AAs a single large weekly injection
2. BAt a low dose, increased slowly
3. COnly after the angina has been cured
4. DAt a full dose from the first day

A patient with advanced CKD asks how to manage indigestion. Which option should they avoid?

1. AEating smaller, more frequent meals
2. BAvoiding large meals late in the evening
3. CRaising the head of the bed at night
4. DMagnesium-containing antacids

A patient had rapid-acting insulin before lunch, then vomited the meal 15 minutes later. What should the nurse do?

1. AMonitor glucose closely and tell the prescriber about the hypo risk
2. BGive the evening long-acting insulin early to balance it
3. CGive another insulin dose because the meal was lost
4. DIgnore it, because vomiting raises blood glucose

A patient on a variable rate IV insulin infusion is nil by mouth. Why is a glucose-containing IV fluid usually given alongside it?

1. ATo prevent hypoglycaemia while insulin is running
2. BTo speed up the action of the insulin in the muscles
3. CTo replace the potassium lost from the cells
4. DTo stop the insulin sticking to the IV tubing