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

مريض لديه سكتة تصيب الجانب الأيسر من الدماغ. أين يرجّح أن يظهر الضعف؟

1. Aفي الجانب الأيمن من الجسم
2. Bفي الجانب الأيسر من الوجه فقط
3. Cفي الساقين معًا دون الذراعين
4. Dفي الجانب الأيسر من الجسم

Which nerve cells are damaged in amyotrophic lateral sclerosis (motor neurone disease)?

1. ASensory nerves in the skin only
2. BThe optic nerves and retina
3. CThe nerves of the autonomic system only
4. DUpper and lower motor neurons

Which mineral is needed to make thyroid hormones?

1. ACalcium
2. BIodine
3. CZinc
4. DIron

A patient with severe vomiting and diarrhoea takes ramipril, furosemide and metformin. Which advice is correct?

1. AKeep taking everything as normal and drink less
2. BAdd ibuprofen to treat the abdominal cramps
3. CPause these medicines until eating and drinking again
4. DDouble the furosemide to prevent fluid retention

Which headache feature most suggests raised intracranial pressure from a brain tumour?

1. AWorse on waking and on coughing, with vomiting
2. BA tight band across the forehead that eases with rest
3. COnly present after reading for a long time
4. DBetter in the morning and worse with stress

Why is nimodipine given to patients after a subarachnoid haemorrhage?

1. ATo stop seizures in the first few days
2. BTo reduce brain injury from delayed vasospasm
3. CTo dissolve the blood clot around the aneurysm
4. DTo raise the blood pressure and improve perfusion

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

A patient with Parkinson's disease is nil by mouth after abdominal surgery. Their levodopa is due. What is the best action?

1. AOmit the dose until the patient can swallow again
2. BContact the prescriber or pharmacist about another route
3. CGive double the dose once eating restarts
4. DGive the tablets with a sip of water anyway