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

In primary hypothyroidism, what is the usual TSH result?

1. ANormal
2. BHigh
3. CLow
4. DUndetectable

Mengapa banyak pasien penyakit ginjal kronis mengalami anemia?

1. ADarah hilang dalam urine setiap hari
2. BDialisis mengeluarkan zat besi dari darah
3. CGinjal memecah sel darah merah
4. DGinjal membuat lebih sedikit eritropoietin

Nasihat perawatan kaki harian mana yang benar untuk penderita diabetes?

1. APeriksa kaki setiap hari dan jangan pernah berjalan tanpa alas kaki
2. BSingkirkan kapalan sendiri di rumah dengan pisau cukur
3. CPeriksa kaki setahun sekali di klinik
4. DRendam kaki dalam air panas selama satu jam setiap hari

Which nursing action helps most to prevent and manage delirium in an older inpatient?

1. AUse glasses and hearing aids and reorient the patient often
2. BKeep the lights on all night so the patient can see clearly
3. CMove the patient to a different room each day for variety
4. DRestrain the patient so that they do not wander off the ward

Seorang pasien memiliki hipertensi yang sulit dikendalikan dan kalium rendah yang menetap, tanpa mengonsumsi diuretik. Kondisi mana yang harus dipertimbangkan?

1. AInsufisiensi adrenal primer (Addison)
2. BHipotiroidisme primer
3. CHiperaldosteronisme primer (Conn)
4. DDiabetes insipidus sentral

A routine blood test shows a potassium of 6,4 mmol/L. The lab reports that the sample was haemolysed. The patient feels well. What should the nurse do?

1. AInform the doctor and arrange an urgent repeat sample
2. BGive oral potassium supplements straight away
3. CStart dialysis as soon as possible
4. DIgnore it, because haemolysis always gives a normal result

A patient with a brain tumour on high-dose dexamethasone has a capillary glucose of 16 mmol/L (288 mg/dL). They have no history of diabetes. What is the best explanation?

1. AA lab error, because steroids lower blood glucose
2. BA sign that the brain tumour has now spread to the pancreas
3. CSteroid-induced hyperglycaemia, which needs monitoring and treatment
4. DNormal for this patient, so no action is needed

A patient's potassium is 7,1 mmol/L, and the ECG shows peaked T waves and broad QRS complexes. What is the first treatment?

1. AIV calcium gluconate
2. BIV furosemide
3. COral potassium binder
4. DOral sodium bicarbonate