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

What is a goitre?

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

What is the lowest possible score on the Glasgow Coma Scale?

1. A0
2. B3
3. C5
4. D1

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

1. AAn allergic reaction to soap
2. BA simple viral skin rash
3. CMeningococcal septicaemia
4. DHeat rash from a high temperature

Which picture fits anterior cord syndrome?

1. ALoss of movement and pain sense, with position sense kept
2. BWeakness on one side and loss of pain sensation on the other side
3. CArms much weaker than legs after a neck injury
4. DNormal movement but complete loss of position sense

Seorang pasien SIADH memiliki natrium 126 mmol/L dan gejala ringan. Pengobatan mana yang biasanya lini pertama?

1. ADesmopresin
2. BPembatasan cairan
3. CTambahan air oral
4. DInfus glukosa 5% IV

A patient has a nephrostomy tube. Which finding needs urgent action?

1. ADrainage that stops suddenly with new loin pain
2. BA dry, intact dressing at the site
3. CSteady urine drainage into the bag
4. DLight pink urine on the first day after insertion

Two days after an ileal conduit was formed, the stoma is dark purple and dry. What should the nurse do?

1. AReport it urgently, because the stoma may be ischaemic
2. BApply a warm compress to improve the colour of the stoma
3. CRecord it as normal for a new stoma
4. DChange the bag and check again next week

A patient with a head injury now has a blood pressure of 190/70 mmHg, a pulse of 48/min and irregular breathing. How should the nurse interpret this?

1. AHypovolaemic shock from internal bleeding
2. BNeurogenic shock from a spinal cord injury
3. CA normal stress response to pain, anxiety and the noise of the ward
4. DCushing's triad, a late sign of raised intracranial pressure