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

Bagaimana pasien dengan dugaan cedera tulang belakang harus dimiringkan?

1. ADengan log-roll oleh tim yang menjaga kesejajaran tulang belakang
2. BDimiringkan pada bahu dahulu, lalu pinggul
3. CDiangkat pada lengan dan tungkai oleh satu orang
4. DDiminta berguling perlahan sendiri

Which group of symptoms is classic for meningitis?

1. AJoint pain, rash on the cheeks and hair loss
2. BFever, headache and neck stiffness
3. CChest pain, cough and wheeze
4. DFlank pain, fever and painful urination

Jenis diabetes mana yang paling sering dikaitkan dengan ketoasidosis diabetik (KAD)?

1. ADiabetes tipe 1
2. BDiabetes tipe 2 yang diobati hanya dengan diet
3. CDiabetes insipidus
4. DPrediabetes

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

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

A patient has Cushing's syndrome. Which nursing assessment is especially important?

1. ARegular blood glucose checks
2. BChecking for low blood pressure
3. CWatching for weight loss
4. DMonitoring for a high potassium

Which measure best prevents catheter-associated urinary tract infection?

1. ADisconnect the bag regularly to empty it
2. BRemove the catheter as soon as it is no longer needed
3. CChange the catheter for a new one every day
4. DKeep the drainage bag above bladder level

During a TURP, a patient becomes confused and nauseated, with a slow pulse and a raised BP. The sodium is 121 mmol/L. What is most likely?

1. AA normal reaction to the spinal anaesthetic
2. BTURP syndrome from absorbed irrigation fluid
3. CHypoglycaemia from fasting for many hours before surgery
4. DAn allergic reaction to the catheter

A patient with trigeminal neuralgia has lost weight and has poor oral hygiene. Which plan is most appropriate?

1. AOffer soft, lukewarm food and advise chewing on the unaffected side
2. BEncourage hard, crunchy foods to strengthen the jaw muscles
3. CTell the patient to stop brushing their teeth completely
4. DAdvise very hot drinks to relax the facial nerves