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

Tindakan mana yang harus dihindari pada lengan dengan fistula hemodialisis?

1. AMenggerakkan lengan secara normal
2. BManset tensimeter atau pengambilan sampel darah
3. CMencucinya dengan sabun dan air
4. DMeraba fistula dengan lembut untuk merasakan getaran

Cairan apa yang biasanya diberikan pertama pada ketoasidosis diabetik?

1. ALarutan glukosa 50% IV
2. BMinuman manis oral dan air
3. CAir steril untuk injeksi IV
4. DNatrium klorida 0,9% IV

Which isolation precautions are used for a patient with suspected meningococcal meningitis?

1. AAirborne precautions in a negative pressure room for 2 weeks
2. BDroplet precautions until about 24 hours of effective antibiotics
3. CContact precautions only, with gloves for skin contact
4. DNo extra precautions, because it is not infectious

Which statement about giving IV potassium is correct?

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

Mengapa pasien ditimbang sebelum dan sesudah setiap sesi hemodialisis?

1. AUntuk memeriksa penurunan berat badan akibat malnutrisi
2. BUntuk menghitung dosis setiap obat untuk minggu berikutnya
3. CUntuk melihat berapa banyak cairan yang dikeluarkan dan memandu berat kering
4. DKarena mesin tidak dapat dimulai tanpa berat badan

Why may a person with long-standing diabetes have a heart attack without typical chest pain?

1. AInsulin acts as a strong painkiller
2. BPeople with diabetes do not have heart attacks
3. CNerve damage can blunt the pain signals
4. DHigh glucose protects the heart from pain

A patient arrives five hours after the onset of a stroke. A CT angiogram shows a blockage of a large artery in the brain. What is the most appropriate next step?

1. AGive aspirin and plan a review on the ward tomorrow
2. BStart IV alteplase immediately without further imaging
3. CNo treatment, because the time for any reperfusion has passed
4. DUrgent referral for assessment for mechanical thrombectomy

A patient on haemodialysis is on a medical ward. Which task can the registered nurse delegate to a healthcare assistant (nursing assistant)?

1. AAssessing the thrill and bruit of the fistula
2. BDeciding which morning medicines to hold
3. CTeaching the patient about fluid restriction
4. DWeighing the patient before they go to dialysis