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

A patient with Bell's palsy cannot close one eye fully. Which advice is most important?

1. AUse lubricating eye drops and protect or tape the eye at night
2. BMassage the closed eyeball firmly several times every day
3. CLeave the eye uncovered so air can dry it out
4. DWear contact lenses to keep the eye moist

Why is dexamethasone often given to patients with a brain tumour?

1. ATo prevent infection after a biopsy
2. BTo raise the blood pressure
3. CTo reduce swelling around the tumour
4. DTo kill the tumour cells directly

أيّ إجراء يجب تجنبه على الذراع التي فيها ناسور غسيل الكلى الدموي؟

1. Aغسله بالماء والصابون
2. Bتحريك الذراع بشكل طبيعي
3. Cالتحسس برفق فوق الناسور لإيجاد الرجفة
4. Dأكمام قياس ضغط الدم أو أخذ عينات الدم

مريض مصاب بسكتة في نصف الكرة الأيمن يتجاهل الطعام في الجانب الأيسر من الصحن. ماذا يسمى ذلك؟

1. Aرنح مخيخي
2. Bإهمال الجانب الأيسر
3. Cعسر البلع
4. Dحبسة تعبيرية

أيّ درجة على مقياس غلاسكو للغيبوبة توحي عادةً بأن المريض قد لا يستطيع حماية مجراه الهوائي؟

1. A11 أو أكثر
2. B13 أو أقل
3. C8 أو أقل
4. D15

A patient has acute low back pain with no red flags. Which advice is most appropriate?

1. AStay in bed for two weeks until the pain is gone
2. BAvoid all movement until an MRI scan has been done
3. CStay as active as possible and use simple pain relief
4. DWear a rigid back brace all day and night for at least three months

A patient with stable epilepsy on phenytoin started a new medicine last week. They now have nystagmus, an unsteady gait and slurred speech. What should the nurse do?

1. ASuspect a new stroke and give aspirin straight away before any scan
2. BGive the next phenytoin dose early to prevent a seizure
3. CEncourage the patient to walk more to improve their balance
4. DSuspect phenytoin toxicity, hold the next dose and ask for a drug level

An 84-year-old man became more confused a week after starting oxybutynin. Infection has been ruled out. What should the nurse suspect?

1. AA symptom of a high potassium from the drug
2. BNormal ageing that needs no review
3. CAnticholinergic side effects of the drug
4. DA sign that the drug dose is too low