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

ما طور ما بعد النوبة (postictal)؟

1. Aطور التيبس في بداية النوبة التوترية الرمعية
2. Bفترة النعاس والتشوش بعد النوبة
3. Cالإحساس التحذيري قبيل بدء النوبة مباشرة
4. Dنوبة تدوم أكثر من خمس دقائق

لماذا يصاب كثير من مرضى المرض الكلوي المزمن بفقر الدم؟

1. Aلأن الكليتين تصنعان إريثروبويتين أقل
2. Bلأن الدم يُفقد في البول كل يوم
3. Cلأن الكليتين تحطمان خلايا الدم الحمراء
4. Dلأن الغسيل يزيل الحديد من الدم

A stroke affects the anterior cerebral artery. Which weakness pattern is most typical?

1. AThe opposite arm and face are weaker than the leg
2. BBoth legs are weak with normal arms
3. CThe same side of the body is weak
4. DThe opposite leg is weaker than the arm

A patient with type 1 diabetes plans a long cycle ride. Which advice is most appropriate?

1. ACheck glucose before and after, and carry fast-acting carbohydrate
2. BAvoid checking glucose until the ride is over
3. CTake an extra dose of rapid-acting insulin before setting off
4. DSkip breakfast so the exercise burns body fat

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

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

Which action is part of an effective bowel programme after a spinal cord injury?

1. ARestricting fluids to reduce the volume of stool
2. BAvoiding fibre to prevent bloating
3. CA routine at the same time each day, often after a meal
4. DUsing strong laxatives only when the bowel has not opened for a week

The night after hip surgery, an 84-year-old becomes suddenly confused and tries to pull out their IV line. What is the most appropriate first step?

1. ATell the family that this is the start of dementia
2. BLook for causes such as low oxygen, pain, retention or infection
3. CApply wrist restraints to protect the IV line
4. DAsk for a strong sedative so that the patient can sleep

A patient with SIADH needs IV fluid. Which fluid is most likely to worsen the hyponatraemia?

1. A8,4% sodium bicarbonate
2. B3% saline
3. C5% glucose (dextrose, D5W)
4. D20% human albumin