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

Tes sederhana mana yang digunakan untuk menyaring kaki penderita diabetes terhadap hilangnya sensasi protektif?

1. AMengukur glukosa darah kapiler pada jari kaki
2. BMengukur lingkar betis
3. CMemeriksa pengisian kapiler jari tangan
4. DMenyentuh telapak kaki dengan monofilamen 10 g

What is Trousseau's sign?

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

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

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

Why is once-daily prednisolone usually taken in the morning with food?

1. ABecause it causes drowsiness and is safer to take during the day
2. BBecause it cannot be absorbed at night
3. CBecause food doubles the strength of the dose
4. DTo match the natural cortisol rhythm and protect the stomach

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. CIgnore it, because haemolysis always gives a normal result
4. DStart dialysis as soon as possible

A woman who takes the combined contraceptive pill is starting carbamazepine. What should she be taught?

1. AThere is no interaction between these two medicines
2. BThe pill makes carbamazepine toxic, so she must stop the pill
3. CCarbamazepine can make the pill less effective, so other contraception is needed
4. DShe should take both at the same time so they are absorbed together

Seorang pasien memiliki fistula AV lengan kiri yang dibuat kemarin dan membutuhkan pemeriksaan darah rutin. Instruksi mana yang paling penting?

1. AMenggunakan tourniquet ketat pada lengan kiri untuk menemukan vena yang baik
2. BMenggunakan lengan kanan; periksa sirkulasi dan getaran tangan kiri
3. CMengambil darah dari fistula, karena mudah ditemukan dan besar
4. DMembalut lengan kiri dengan ketat dalam perban untuk melindungi fistula

Which task for a stroke patient can a registered nurse safely delegate to a healthcare assistant (nursing assistant)?

1. ATeaching the patient how to take a new anticoagulant
2. BRepositioning the patient every two hours as set out in the care plan
3. CCarrying out the first bedside water swallow screen after admission
4. DAssessing a new weakness the patient reports in the leg