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

Why should people with diabetic neuropathy avoid walking barefoot?

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

Why should insulin injection sites be rotated?

1. ATo stop the insulin from spreading to other organs
2. BTo make the insulin work faster each time
3. CTo prevent fatty lumps that absorb insulin unevenly
4. DTo avoid building up an immune response to the insulin

What is the most common cause of intrinsic (renal) acute kidney injury in hospital?

1. APolycystic kidney disease
2. BAcute tubular necrosis
3. CAn enlarged prostate
4. DKidney stones

Which nursing care is most important for a patient with diabetes insipidus?

1. AGiving a loop diuretic to clear extra fluid
2. BStrict fluid balance, daily weight and free access to water
3. CA strict fluid restriction to reduce the amount of urine passed
4. DWeighing the patient once a month

Which picture fits anterior cord syndrome?

1. ANormal movement but complete loss of position sense
2. BLoss of movement and pain sense, with position sense kept
3. CWeakness on one side and loss of pain sensation on the other side
4. DArms much weaker than legs after a neck injury

A urine dipstick is positive for nitrites. What does this suggest?

1. AThe patient is dehydrated and needs more fluid
2. BThe kidneys are losing too much protein
3. CBacteria that convert nitrate are present
4. DThe urine has a lot of glucose in it

Which statement correctly distinguishes spinal shock from neurogenic shock?

1. ASpinal shock is low blood pressure; neurogenic shock is the loss of reflexes
2. BThey are two names for exactly the same condition
3. CSpinal shock is lost reflexes; neurogenic shock is low BP and slow pulse
4. DNeurogenic shock is caused by blood loss; spinal shock is caused by infection

A patient with multiple sclerosis has had worse leg weakness for one day, together with a fever and burning on passing urine. What is the most likely explanation?

1. AA change to progressive MS
2. BA true relapse that needs high-dose steroids
3. CA pseudo-relapse caused by infection
4. DA side effect of physiotherapy