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

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

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

كيف يُتناول الليفوثيروكسين عادةً؟

1. Aعلى معدة فارغة، قبل الفطور بـ 30–60 دقيقة
2. Bفقط في الأيام التي يشعر فيها المريض بالتعب
3. Cعند وقت النوم مع قرص كالسيوم أو حديد
4. Dمع فطور كبير يتضمن الحليب والقهوة

How is the pain of renal colic typically described?

1. AA dull ache in the lower back after lifting
2. BBurning pain in the chest after meals
3. CSevere pain that comes in waves from the loin to the groin
4. DPain in the right lower abdomen that started near the navel

Why is once-daily prednisolone usually taken in the morning with food?

1. ABecause it causes drowsiness and is safer to take during the day
2. BTo match the natural cortisol rhythm and protect the stomach
3. CBecause it cannot be absorbed at night
4. DBecause food doubles the strength of the dose

Why is an ACE inhibitor often given to a patient with diabetes and albumin in the urine?

1. AIt protects the kidneys and reduces albumin loss
2. BIt stops the kidneys from passing so much urine at night
3. CIt lowers the blood glucose to normal
4. DIt raises potassium to protect the heart

Which symptoms are typical of hypokalaemia?

1. AExcess thirst and very high glucose
2. BHeat intolerance and weight loss
3. CTingling lips and facial twitching
4. DMuscle weakness, cramps and palpitations

A patient with a head injury now has a blood pressure of 190/70 mmHg, a pulse of 48/min and irregular breathing. How should the nurse interpret this?

1. ANeurogenic shock from a spinal cord injury
2. BCushing's triad, a late sign of raised intracranial pressure
3. CHypovolaemic shock from internal bleeding
4. DA normal stress response to pain, anxiety and the noise of the ward

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

1. AA patient on insulin for DKA whose potassium is now 2,9 mmol/L
2. BA patient with hypothyroidism asking when to take levothyroxine
3. CA patient with Parkinson's disease whose next dose is due in two hours
4. DA patient with stable CKD waiting for a renal diet review