Lembar kerja Medikal-bedah: saraf, endokrin & ginjal dengan jawaban

Kelompok gejala mana yang khas untuk hipertiroidisme?

1. ATidak tahan panas, penurunan berat badan, tremor, dan palpitasi
2. BTidak tahan dingin, penambahan berat badan, dan denyut nadi lambat
3. CKonstipasi, kulit kering, kuku rapuh, dan rambut kasar menipis
4. DSuara serak, wajah sembap, dan berpikir lambat

What does a complete spinal cord injury mean?

1. AThe patient can move but cannot feel below the injury
2. BNo movement or feeling below the injury, even in the sacral area
3. CThe spinal cord has been cut into two separate pieces
4. DAll vertebrae in the neck are broken

Bagaimana perawat memeriksa bahwa fistula arteriovena untuk hemodialisis berfungsi?

1. AMemeriksa nadi radial pada lengan yang lain
2. BMencari kemerahan di atas lokasi fistula
3. CMengukur tekanan darah pada lengan dengan fistula
4. DMeraba getaran (thrill) dan mendengarkan bruit

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 body becomes allergic to insulin when the pump stops
3. CThe pump gives long-acting insulin, which builds up and stops working all at once
4. DThe pump gives only rapid-acting insulin, so there is no long-acting reserve

In the first trimester of pregnancy, why is propylthiouracil often preferred to carbimazole for hyperthyroidism?

1. ACarbimazole has a higher risk of birth defects early on
2. BPropylthiouracil has no side effects at all
3. CPropylthiouracil works faster than any other drug
4. DCarbimazole cannot cross into the mother's blood

Which lifestyle advice best helps a patient with epilepsy reduce their seizures?

1. AAvoid all physical exercise and stay indoors
2. BKeep regular sleep and take every dose on time
3. CDrink coffee in the evening to stay alert
4. DSkip a dose on days without any warning signs

Setelah tiroidektomi total, seorang pasien menjadi cemas dengan stridor dan pembengkakan tegang di leher. Apa yang harus dilakukan perawat pertama kali?

1. AMemasang kantong es di leher dan membaringkan pasien datar
2. BMemberikan analgesia dan menilai ulang pembengkakan satu jam kemudian
3. CMeminta bantuan darurat: hematoma dapat menekan jalan napas
4. DMeminta pasien berbicara sebanyak mungkin untuk menguji suara

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 sign that the drug dose is too low
2. BAnticholinergic side effects of the drug
3. CA symptom of a high potassium from the drug
4. DNormal ageing that needs no review