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

How should a patient collect a midstream urine sample?

1. ACollect urine from the toilet bowl afterwards
2. BCollect urine over 24 hours into one bottle
3. CLet the first part go in the toilet, then catch the middle
4. DCollect the very first drops into the container

Jenis diabetes mana yang paling sering dikaitkan dengan ketoasidosis diabetik (KAD)?

1. ADiabetes tipe 1
2. BDiabetes tipe 2 yang diobati hanya dengan diet
3. CDiabetes insipidus
4. DPrediabetes

Pemeriksaan darah mana yang paling umum digunakan untuk memperkirakan fungsi ginjal?

1. AKadar amilase serum
2. BKadar albumin serum
3. CHbA1c (hemoglobin terglikasi)
4. DKreatinin serum (eGFR)

Which statement about giving IV potassium is correct?

1. AIt is diluted and given through an infusion pump, never as a bolus
2. BIt is safest given through a small vein in the hand at a fast rate
3. CIt needs no monitoring at all once the infusion is running
4. DIt can be given quickly as a push to correct the level fast

A patient receives phenytoin through a nasogastric tube along with continuous enteral feed. Which issue should the nurse know about?

1. AThe feed can reduce phenytoin absorption, so the feed is often paused around the dose
2. BPhenytoin makes the feed curdle, so the two must never be used in one patient
3. CThe feed increases phenytoin levels and causes toxicity within hours
4. DPhenytoin must be crushed and mixed into the feed bag

Where is the zero point of an external ventricular drain usually levelled?

1. AAt the level of the umbilicus
2. BAt the tragus of the ear
3. CAt the mid-axillary line of the chest
4. DAt the top of the head

A patient with a brain injury has a mean arterial pressure of 80 mmHg and an ICP of 25 mmHg. How should the nurse interpret this?

1. AThe cerebral perfusion pressure is 105 mmHg, which is too high
2. BThe ICP cannot affect brain perfusion if the blood pressure is normal
3. CThe cerebral perfusion pressure is 80 mmHg, which is normal
4. DThe cerebral perfusion pressure is 55 mmHg, below the usual target

A patient with myasthenia gravis is admitted with pneumonia. Which newly prescribed antibiotic should the nurse question?

1. AAmoxicillin
2. BGentamicin
3. CBenzylpenicillin
4. DCeftriaxone