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

Which common painkiller can harm the kidneys, especially in dehydration?

1. ACodeine
2. BMorphine
3. CIbuprofen
4. DParacetamol (acetaminophen)

How is the pain of trigeminal neuralgia typically described?

1. AA throbbing pain behind one eye with nausea and aura
2. BA burning pain in both feet, worse at night
3. CSudden electric-shock pain in the face set off by light touch
4. DA dull ache across the forehead that lasts all day

What is a goitre?

1. AA tumour of the adrenal gland
2. BAn enlarged thyroid gland
3. CAn overactive parathyroid gland
4. DA swollen lymph node in the armpit

Why are patients on haemodialysis vaccinated against hepatitis B?

1. AShared dialysis units carry a higher infection risk
2. BThe vaccine is needed to make the dialyser work
3. CHepatitis B vaccine improves the fistula flow
4. DThe vaccine lowers the potassium level

A woman who takes the combined contraceptive pill is starting carbamazepine. What should she be taught?

1. AShe should take both at the same time so they are absorbed together
2. BThere is no interaction between these two medicines
3. CCarbamazepine can make the pill less effective, so other contraception is needed
4. DThe pill makes carbamazepine toxic, so she must stop the pill

Selama pengobatan KAD, glukosa turun di bawah sekitar 14 mmol/L (sekitar 250 mg/dL) tetapi keton masih meningkat. Apa yang biasanya terjadi?

1. ASemua cairan IV dihentikan untuk menghindari kelebihan cairan
2. BInfus insulin dihentikan segera
3. CGlukosa ditambahkan ke cairan; insulin dilanjutkan
4. DPasien makan dan pengobatan IV dihentikan

A patient has erratic glucose readings. The nurse finds a soft, rubbery lump where they always inject. What is the most important teaching?

1. AKeep injecting into the lump, because it hurts less there
2. BUse healthy sites and check glucose often, as less insulin may be needed
3. CMassage the lump firmly after every injection
4. DDouble the insulin dose because the lump blocks the insulin

The nurse has four endocrine patients. Which one needs to be seen first?

1. AA patient after thyroidectomy with mild pain on swallowing
2. BA patient with hypothyroidism who has been constipated for three days
3. CA patient with Graves' disease asking about radioactive iodine
4. DA patient with hyperthyroidism who is confused, with a temperature of 39,5 °C (103,1 °F)