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

Which symptoms are typical of cystitis (a bladder infection)?

1. ASwelling of the ankles and frothy urine
2. BHigh fever, shaking rigors and pain in the loin
3. CPainless red urine with clots
4. DBurning on passing urine, frequency and urgency

What is spinal shock?

1. AA very low blood pressure caused by blood loss after trauma
2. BA severe allergic reaction to spinal anaesthetic
3. CA temporary loss of reflexes and tone below a spinal cord injury
4. DA permanent loss of feeling in both hands only, from nerve damage

What is the most common type of kidney stone?

1. ACalcium oxalate
2. BStruvite
3. CCystine
4. DUric acid

A patient with Conn's syndrome starts spironolactone. Which blood test should the nurse watch most closely?

1. APotassium
2. BGlucose
3. CAmylase
4. DCalcium

A patient with Graves' eye disease has gritty eyes and swelling around them in the morning. Which advice is most appropriate?

1. ARub the eyes firmly each morning to reduce the swelling
2. BUse lubricating drops and sleep with the head raised
3. CStay in bright sunlight to dry the eyes
4. DSmoking more will not affect the eyes

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

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

A patient had a witnessed tonic-clonic seizure. Afterwards their left arm is weak, and the weakness improves over the next few hours. What is the best interpretation?

1. APossible postictal (Todd's) paresis, but a stroke must still be excluded
2. BA sign that the patient is pretending to be weak
3. CCertainly a stroke, so the seizure can be ignored
4. DNormal postictal tiredness that needs no further assessment or imaging at all

A patient who has taken prednisolone daily for years is vomiting and cannot keep tablets down. What should the nurse do?

1. AGive the tablets again after every vomit
2. BEscalate urgently for steroid by injection
3. COmit the steroid until the vomiting stops
4. DGive the next dose with a glass of milk