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

What is the main effect of parathyroid hormone (PTH)?

1. AIt raises blood sodium
2. BIt raises blood calcium
3. CIt lowers blood potassium
4. DIt lowers blood glucose

The nurse asks a patient to shrug their shoulders against resistance. Which cranial nerve is being tested?

1. ATrigeminal nerve (V)
2. BFacial nerve (VII)
3. CAccessory nerve (XI)
4. DHypoglossal nerve (XII)

Selama kejang, apa hal yang paling berguna untuk dicatat?

1. AKapan terakhir pasien makan sesuatu
2. BTekanan darah pasien setiap menit sepanjang waktu
3. CSuhu pasien hanya di akhir
4. DKapan dimulai dan berhenti, serta bagaimana tampilannya

An older patient with a long-term catheter has bacteria in the urine but no symptoms. What is usually appropriate?

1. AAntibiotics for life to keep the urine sterile
2. BNo antibiotics, as long as there are no symptoms
3. CA full course of antibiotics straight away
4. DRemove the catheter permanently at once

A urine dipstick is positive for nitrites. What does this suggest?

1. AThe patient is dehydrated and needs more fluid
2. BThe urine has a lot of glucose in it
3. CThe kidneys are losing too much protein
4. DBacteria that convert nitrate are present

A patient has just started levetiracetam. Which side effect should the nurse teach them to report?

1. AA persistent dry cough at night
2. BSwelling and overgrowth of the gums around the teeth
3. COrange discoloration of the urine
4. DChanges in mood, such as irritability, low mood or anger

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

1. AA patient after TURP with light pink drainage and mild discomfort
2. BA patient with a suprapubic catheter due for a routine change
3. CA patient with a nephrostomy who has rigors and a BP of 86/50 mmHg
4. DA patient with stress incontinence asking about pelvic floor exercises

A patient with motor neurone disease reports morning headaches, poor sleep and sleepiness during the day. What do these symptoms suggest?

1. ANormal tiredness that needs no specific action
2. BWeak breathing at night, so a review for ventilation support
3. CA side effect of riluzole, which should be stopped straight away by the nurse
4. DLow mood, which should be treated with an antidepressant first