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

What is an early sign of kidney damage from diabetes?

1. AA very low blood urea level
2. BPain felt in both kidneys at night
3. CSmall amounts of albumin in the urine
4. DBlood in the urine that is visible

In primary hypothyroidism, what is the usual TSH result?

1. AUndetectable
2. BLow
3. CNormal
4. DHigh

Kelompok gejala mana yang khas untuk hipertiroidisme?

1. AKonstipasi, kulit kering, kuku rapuh, dan rambut kasar menipis
2. BSuara serak, wajah sembap, dan berpikir lambat
3. CTidak tahan dingin, penambahan berat badan, dan denyut nadi lambat
4. DTidak tahan panas, penurunan berat badan, tremor, dan palpitasi

Mengapa metformin biasanya ditahan selama cedera ginjal akut atau di sekitar kontras beryodium pada pasien berisiko?

1. AMenyebabkan hiperkalemia saat ginjal cedera
2. BMenyebabkan hipoglikemia berat bila diberikan bersama kontras
3. CMenghalangi kontras sehingga pemindaian tidak dapat dibaca
4. DDapat menumpuk dan meningkatkan risiko asidosis laktat

A patient taking sodium valproate becomes tired and is vomiting, and the nurse notices yellowing of the eyes. What is the main concern?

1. ALiver toxicity from valproate
2. BA sign that the dose is too low
3. CDehydration from drinking too little
4. DA normal adjustment reaction to the drug

What is the main purpose of continuous bladder irrigation after a transurethral resection of the prostate (TURP)?

1. ATo stop blood clots from blocking the catheter
2. BTo give the patient extra fluids
3. CTo measure the size of the bladder
4. DTo treat a urinary infection after the operation

A patient with SIADH needs IV fluid. Which fluid is most likely to worsen the hyponatraemia?

1. A3% saline
2. B20% human albumin
3. C5% glucose (dextrose, D5W)
4. D8,4% sodium bicarbonate

At bedtime, a patient was given their rapid-acting insulin by mistake instead of their long-acting insulin. What should the nurse do?

1. AGive glucagon now, before the glucose has fallen
2. BTell the prescriber and check glucose often overnight
3. CGive the long-acting dose as well and check glucose at breakfast
4. DSay nothing, because the patient is asleep and seems fine