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

What is acromegaly?

1. AToo little growth hormone in a child
2. BToo little thyroid hormone in an adult
3. CToo much cortisol from the adrenal glands
4. DToo much growth hormone in an adult

Which is a common cause of a low potassium level?

1. AAddison's disease
2. BTaking an ACE inhibitor such as ramipril
3. CTaking a loop diuretic such as furosemide
4. DAdvanced chronic kidney disease

Which side effect is common when starting a GLP-1 receptor agonist such as semaglutide?

1. AA dry cough
2. BHair growth
3. CNausea
4. DWeight gain

A patient is starting nitrofurantoin for a UTI. Which teaching point is correct?

1. AIt must be taken only once a week
2. BIt turns the tears and sweat bright orange
3. CIt may turn the urine dark yellow or brown
4. DIt should be taken on an empty stomach with milk

A patient takes levodopa for Parkinson's disease. Which teaching point is correct?

1. AThe tablets work best taken with a large steak dinner
2. BThe drug cures the disease if taken for a full year
3. CLarge high-protein meals can reduce how well the drug works
4. DStop the drug for a day each week to avoid tolerance

A patient is starting lamotrigine. Which teaching point is most important?

1. AExpect an orange tint to tears and urine
2. BDouble the dose if a seizure happens
3. CTake it with a glass of grapefruit juice to improve its absorption
4. DReport any skin rash promptly, especially in the first weeks

A patient with a cervical spinal cord injury is helped to sit up for the first time. They become dizzy and pale, and the BP falls from 110/70 to 78/46 mmHg. What should the nurse do?

1. AGive a large meal and a strong coffee to raise the blood pressure
2. BLower the patient back towards lying, then raise them gradually later
3. CStand the patient up to improve the blood flow to the legs
4. DContinue sitting them upright, because it will pass in an hour

The nurse has four renal patients. Which one needs to be seen first?

1. AA patient with mild itching from uraemia who wants a cream
2. BA patient with CKD asking about their phosphate binder
3. CA patient with a potassium of 6,8 mmol/L who reports palpitations
4. DA patient with a creatinine slightly above their usual level