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

How does haemodialysis remove waste from the blood?

1. AThe waste is removed through a tube in the bladder
2. BA filter in the stomach absorbs waste from food
3. CWaste diffuses across a membrane into a cleaning fluid
4. DThe blood is spun so that waste sinks to the bottom

Which symptoms in a patient with back pain suggest cauda equina syndrome?

1. ANumbness between the legs and new bladder problems
2. BMild stiffness in the morning that soon wears off
3. CBack pain that eases when walking around the house
4. DPain that is worse after a long day at work

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

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

Which group of drugs is a well-known cause of SIADH and hyponatraemia, especially in older people?

1. AProton pump inhibitors
2. BSSRI antidepressants
3. CPenicillin antibiotics
4. DBulk-forming laxatives

Why may a person with long-standing diabetes have a heart attack without typical chest pain?

1. ANerve damage can blunt the pain signals
2. BPeople with diabetes do not have heart attacks
3. CHigh glucose protects the heart from pain
4. DInsulin acts as a strong painkiller

A routine blood test shows a potassium of 6,4 mmol/L. The lab reports that the sample was haemolysed. The patient feels well. What should the nurse do?

1. AStart dialysis as soon as possible
2. BIgnore it, because haemolysis always gives a normal result
3. CInform the doctor and arrange an urgent repeat sample
4. DGive oral potassium supplements straight away

A nurse teaches a patient about peritoneal dialysis. Which statement shows a need for further teaching?

1. A"If the fluid is cloudy, I'll see if it clears next time."
2. B"I will weigh myself daily and record my fluid balance."
3. C"I will check my exit site every day."
4. D"I will wash my hands carefully before each exchange."

A nurse teaches the family of a patient on insulin how to manage a severe hypo. Which statement shows a need for further teaching?

1. A"I will put her on her side and call an ambulance straight away."
2. B"I will give the glucagon as I was shown."
3. C"If she is unconscious, I will pour juice into her mouth."
4. D"When she can swallow, I will give her a snack."