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

Which hourly urine output is usually taken as the minimum acceptable for an adult?

1. AAbout 0,5 mL/kg per hour
2. BAbout 0,05 mL/kg per hour
3. CAbout 5 mL/kg per hour
4. DAbout 10 mL/kg per hour

After a head injury, a patient has bruising behind the ear over the mastoid bone. What does this suggest?

1. AA simple scalp laceration
2. BA fractured jaw
3. CA fracture of the base of the skull
4. DAn injury to the outer ear only

In dialysis care, what does "dry weight" mean?

1. AThe weight measured with an empty bladder
2. BThe weight after the patient has drunk nothing for a day
3. CThe weight without excess fluid in the body
4. DThe weight of the patient's clothes

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

1. AKeep the lights on all night so the patient can see clearly
2. BUse glasses and hearing aids and reorient the patient often
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

A patient takes levodopa for Parkinson's disease. Which teaching point is correct?

1. ALarge high-protein meals can reduce how well the drug works
2. BThe tablets work best taken with a large steak dinner
3. CThe drug cures the disease if taken for a full year
4. DStop the drug for a day each week to avoid tolerance

Several hours after a carotid endarterectomy, which finding needs the most urgent action?

1. AMild pain at the incision site
2. BA blood pressure slightly above the baseline
3. CAn expanding neck swelling with noisy breathing
4. DA small amount of dried blood on the dressing

A patient with trigeminal neuralgia has lost weight and has poor oral hygiene. Which plan is most appropriate?

1. AAdvise very hot drinks to relax the facial nerves
2. BTell the patient to stop brushing their teeth completely
3. COffer soft, lukewarm food and advise chewing on the unaffected side
4. DEncourage hard, crunchy foods to strengthen the jaw muscles

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