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

Mengapa penting mencatat kapan pasien stroke terakhir diketahui dalam keadaan baik?

1. APasien yang terlihat setelah satu jam tidak dapat dirawat di unit stroke
2. BWaktu menentukan sisi otak mana yang terkena
3. CWaktu diperlukan untuk menghitung skor GCS pasien
4. DPengobatan seperti trombolisis bergantung pada waktu sejak onset

Which symptoms are typical of diabetic peripheral neuropathy?

1. AA painful red, hot swollen big toe at night
2. BPain in the calves that starts when walking
3. CMorning stiffness of the small hand joints
4. DNumbness, tingling or burning in the feet

What is acromegaly?

1. AToo much growth hormone in an adult
2. BToo little thyroid hormone in an adult
3. CToo much cortisol from the adrenal glands
4. DToo little growth hormone in a child

Which complication is a particular risk in nephrotic syndrome?

1. ABleeding from low platelets
2. BHypoglycaemia
3. CLow cholesterol
4. DVenous thrombosis

Why does a patient with untreated hypothyroidism need extra care when given opioids or sedatives?

1. AThey clear the drugs too fast, so higher doses are needed
2. BThere is no difference compared with other patients
3. CThey break the drugs down slowly and are more sensitive to them
4. DThese drugs make the thyroid gland overactive

A patient with advanced CKD asks how to manage indigestion. Which option should they avoid?

1. AEating smaller, more frequent meals
2. BRaising the head of the bed at night
3. CAvoiding large meals late in the evening
4. DMagnesium-containing antacids

The nurse has four patients. Which one needs to be seen first?

1. AA patient with hypothyroidism asking when to take levothyroxine
2. BA patient on insulin for DKA whose potassium is now 2,9 mmol/L
3. CA patient with stable CKD waiting for a renal diet review
4. DA patient with Parkinson's disease whose next dose is due in two hours

Dua hari setelah cedera medula spinalis C5, seorang pasien cemas, dengan laju napas 30/menit dan kapasitas vital yang menurun. Apa yang harus dilakukan perawat?

1. AMembaringkan pasien datar dengan kepala ditengadahkan untuk membuka jalan napas
2. BSegera eskalasi: edema medula dapat menyebabkan gagal napas
3. CMemberikan sedatif untuk memperlambat napas dan meredakan kecemasan
4. DMemeriksa ulang kapasitas vital sekitar 12 jam lagi