उत्तरों सहित मेड-सर्ज: तंत्रिका, अंतःस्रावी और गुर्दा वर्कशीट

A febrile patient has a rash that does not fade when a glass is pressed against it. What should the nurse suspect?

1. AMeningococcal septicaemia
2. BAn allergic reaction to soap
3. CA simple viral skin rash
4. DHeat rash from a high temperature

How do sulfonylureas such as gliclazide lower blood glucose?

1. AThey make the kidneys pass more glucose
2. BThey make the pancreas release more insulin
3. CThey slow down the absorption of food
4. DThey replace insulin that the body lacks

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

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

Why can a patient with an insulin pump develop DKA within hours if the pump stops working?

1. AThe battery in the pump releases chemicals into the blood
2. BThe pump gives only rapid-acting insulin, so there is no long-acting reserve
3. CThe body becomes allergic to insulin when the pump stops
4. DThe pump gives long-acting insulin, which builds up and stops working all at once

After pressing the plunger of an insulin pen, what should the patient do?

1. AKeep the needle in the skin for about 10 seconds
2. BInject a second dose straight away to be sure
3. CLeave the needle on the pen for the next injection
4. DPull the needle out at once and rub the site firmly

A patient with Alzheimer's disease starts donepezil. Which side effects should the nurse look for?

1. ADry mouth, constipation and a fast heart rate
2. BA persistent dry cough and a raised potassium
3. CNausea, diarrhoea and a slow heart rate
4. DWeight gain, high glucose and swollen ankles

A drowsy patient's glucose meter shows "HI". What should the nurse do?

1. AAssume the meter is broken and recheck tomorrow
2. BGive glucose gel in case the reading is wrong
3. CTreat it as very high, check ketones and escalate
4. DRecord "normal" in the notes because no number appears

हीमोडायलिसिस के दौरान मरीज़ का BP 80/50 mmHg तक गिर जाता है और उसे चक्कर तथा मतली होती है। सबसे उपयुक्त पहली नर्सिंग कार्रवाई क्या है?

1. Aमरीज़ की सामान्य उच्च रक्तचाप-रोधी खुराक तुरंत देना
2. Bमरीज़ को सीधा लिटाना, द्रव निकासी घटाना और मदद बुलाना
3. Cद्रव निकासी की दर बढ़ाना ताकि सत्र जल्दी समाप्त हो
4. Dमरीज़ को सीधा बैठाना और थोड़ा चलने के लिए प्रोत्साहित करना