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

What is an aura before a seizure?

1. AA rash that appears after some antiepileptic drugs
2. BThe confusion and sleepiness after a seizure ends
3. CA warning sensation, which is itself a small focal seizure
4. DA lasting change in vision that is caused by long-term epilepsy

Which group of features defines nephrotic syndrome?

1. APainful urination, fever and frequency
2. BBlood in the urine, high BP and low urine output
3. CSevere loin pain that spreads to the groin
4. DHeavy proteinuria, low albumin and oedema

What is the purpose of a steroid emergency card or medical alert ID?

1. ATo warn staff that extra steroid is needed in illness or injury
2. BTo record the patient's blood glucose results
3. CTo let the patient buy steroids without a prescription
4. DTo show that the patient is allergic to all types of steroid medicine

A patient with type 1 diabetes has gastroenteritis and cannot eat. Which sick-day advice is correct?

1. AAvoid drinking fluids to reduce the vomiting
2. BCheck glucose once a day only and rest in bed until better
3. CStop all insulin until normal eating restarts
4. DKeep taking basal insulin and check glucose and ketones more often

A bladder scan straight after voiding shows 450 mL of urine still in the bladder. What does this show?

1. AThe patient is passing urine normally
2. BThe patient has drunk too little fluid
3. CThe bladder is not emptying properly
4. DThe kidneys are making too little urine

Why can a patient with an insulin pump develop DKA within hours if the pump stops working?

1. AThe pump gives long-acting insulin, which builds up and stops working all at once
2. BThe pump gives only rapid-acting insulin, so there is no long-acting reserve
3. CThe battery in the pump releases chemicals into the blood
4. DThe body becomes allergic to insulin when the pump stops

A patient with a new arm fistula says their hand on that side is cold, pale and painful, especially during dialysis. What is the concern?

1. ASteal syndrome, which needs urgent review
2. BFluid overload in the arm
3. CNormal healing that needs no action
4. DAn allergic reaction to the dressing on the arm

مريض يتناول البريدنيزولون بجرعة عالية طويلة الأمد بعد ثلاثة أيام من جراحة الأمعاء. يبلغ فقط عن ألم بطني خفيف، لكن معدل القلب ارتفع إلى 115/min والحرارة 37,4 °C. لماذا ينبغي أن تكون الممرضة قلقة بوجه خاص؟

1. Aلأن الستيرويدات قد تخفي الحمى والألم وعلامات التهاب الصفاق، فتحجب المضاعفات
2. Bلأن الستيرويدات تسبب تسرع القلب لدى جميع المرضى، فلا حاجة إلى إجراء
3. Cلأن الستيرويدات تحمي من العدوى، فالإنتان مستبعد جدًا
4. Dلأن الألم الخفيف يدل على أن الأمعاء تلتئم كما هو متوقع