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

Insulin mana yang disedot lebih dulu saat mencampur insulin kerja pendek dan intermediet (NPH, keruh) dalam satu spuit?

1. AKeduanya bersamaan, setelah dicampur dalam satu vial
2. BInsulin kerja pendek yang jernih, lalu insulin yang keruh
3. CInsulin yang keruh, lalu insulin kerja pendek yang jernih
4. DUrutan mana pun, karena tidak ada bedanya

Apa yang dimaksud dengan cedera ginjal akut (AKI)?

1. AHilangnya fungsi ginjal yang lambat dan permanen selama bertahun-tahun
2. BInfeksi bakteri pada jaringan ginjal
3. CPenurunan fungsi ginjal yang cepat dalam hitungan jam hingga hari
4. DBatu ginjal tanpa perubahan fungsi

Which eGFR defines stage 5 chronic kidney disease (kidney failure)?

1. ABelow 60 mL/min/1,73 m²
2. BBelow 15 mL/min/1,73 m²
3. CBelow 120 mL/min/1,73 m²
4. DBelow 90 mL/min/1,73 m²

A patient takes levodopa for Parkinson's disease. Which teaching point is correct?

1. AStop the drug for a day each week to avoid tolerance
2. BThe tablets work best taken with a large steak dinner
3. CLarge high-protein meals can reduce how well the drug works
4. DThe drug cures the disease if taken for a full year

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

1. AA sign that the dose is too low
2. BA normal adjustment reaction to the drug
3. CLiver toxicity from valproate
4. DDehydration from drinking too little

Why are insulin and glucose given together to treat hyperkalaemia?

1. AInsulin moves potassium into cells; glucose prevents a hypo
2. BGlucose binds the potassium in the blood and removes it
3. CInsulin protects the heart muscle cells from the potassium
4. DInsulin makes the kidneys pass more potassium in the urine

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

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

A patient taking amiodarone has gained weight and feels tired and cold. Which blood test is most relevant?

1. ASerum amylase and lipase levels
2. BThyroid function tests
3. CBlood alcohol level
4. DSerum ferritin