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

What is Trousseau's sign?

1. ABruising around the eyes after a head injury
2. BHand spasm when a BP cuff is inflated on the arm
3. CPain in the calf when the foot is bent upwards
4. DTwitching of the face when the cheek is tapped

What does a complete spinal cord injury mean?

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

Apa tanda paling awal dan paling sensitif dari peningkatan tekanan intrakranial?

1. APupil tetap dan melebar di kedua sisi
2. BPerubahan tingkat kesadaran
3. CBradikardia dengan tekanan darah tinggi
4. DPernapasan tidak teratur dengan jeda panjang

After pressing the plunger of an insulin pen, what should the patient do?

1. ALeave the needle on the pen for the next injection
2. BKeep the needle in the skin for about 10 seconds
3. CPull the needle out at once and rub the site firmly
4. DInject a second dose straight away to be sure

Which group of problems is typical of primary hyperparathyroidism?

1. AKidney stones, bone pain, abdominal pain and low mood
2. BMuscle cramps, tingling lips and seizures
3. CHair loss, weight gain and feeling cold
4. DHeat intolerance, tremor, weight loss and diarrhoea

What is the dexamethasone suppression test used for?

1. ATo measure kidney function
2. BTo check thyroid function
3. CTo help diagnose Cushing's syndrome
4. DTo diagnose diabetes insipidus

A patient on IV gentamicin has a rising creatinine and a high trough level. What should the nurse do?

1. AEncourage more fluids and give the dose as planned
2. BHold the next dose and inform the prescriber
3. CStop measuring the drug levels
4. DGive the next dose early to clear the infection quickly

A patient with Parkinson's disease is nil by mouth after abdominal surgery. Their levodopa is due. What is the best action?

1. AGive double the dose once eating restarts
2. BGive the tablets with a sip of water anyway
3. CContact the prescriber or pharmacist about another route
4. DOmit the dose until the patient can swallow again