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

Which three responses make up the Glasgow Coma Scale?

1. AOrientation to time, place and person, plus memory
2. BEye opening, verbal response and motor response
3. CReflexes, muscle tone and sensation
4. DPupil size, pulse and blood pressure

What is diabetic gastroparesis?

1. AA blockage of the small bowel by scar tissue
2. BA stomach ulcer caused by long-term metformin use
3. CSlow emptying of the stomach due to nerve damage
4. DInflammation of the pancreas from high glucose

Bagaimana perawat memeriksa bahwa fistula arteriovena untuk hemodialisis berfungsi?

1. AMencari kemerahan di atas lokasi fistula
2. BMengukur tekanan darah pada lengan dengan fistula
3. CMemeriksa nadi radial pada lengan yang lain
4. DMeraba getaran (thrill) dan mendengarkan bruit

Which measure best detects a decline in breathing in a patient with Guillain–Barré syndrome?

1. AOxygen saturation alone
2. BDaily chest X-rays
3. CPeak flow before and after a bronchodilator
4. DRegular forced vital capacity measurements

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

1. ADehydration from drinking too little
2. BA sign that the dose is too low
3. CA normal adjustment reaction to the drug
4. DLiver toxicity from valproate

In the first trimester of pregnancy, why is propylthiouracil often preferred to carbimazole for hyperthyroidism?

1. APropylthiouracil works faster than any other drug
2. BCarbimazole has a higher risk of birth defects early on
3. CCarbimazole cannot cross into the mother's blood
4. DPropylthiouracil has no side effects at all

A patient with type 1 diabetes is vomiting at home. Their glucose is 12 mmol/L (216 mg/dL), and blood ketones are 3,5 mmol/L. What advice is correct?

1. AStop insulin until the vomiting has settled
2. BWait until the glucose is above 20 mmol/L (360 mg/dL)
3. CDrink less fluid to stop the vomiting
4. DSeek urgent hospital assessment for possible DKA

A patient with polycystic kidney disease suddenly has the worst headache of their life and neck stiffness. What should the nurse suspect?

1. APain spreading upwards from a kidney cyst
2. BA migraine linked to high blood pressure
3. CA subarachnoid haemorrhage from a brain aneurysm
4. DA urinary infection that has spread