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

A febrile patient has a rash that does not fade when a glass is pressed against it. What should the nurse suspect?

1. AMeningococcal septicaemia
2. BAn allergic reaction to soap
3. CHeat rash from a high temperature
4. DA simple viral skin rash

Which description best fits an absence seizure?

1. AA sudden loss of muscle tone that makes the person fall
2. BStiffening and then jerking of all four limbs for several minutes
3. CJerking that starts in one hand and spreads up the arm
4. DA brief staring spell of a few seconds with a quick return to normal

Apa tanda paling awal dan paling sensitif dari peningkatan tekanan intrakranial?

1. APupil tetap dan melebar di kedua sisi
2. BBradikardia dengan tekanan darah tinggi
3. CPernapasan tidak teratur dengan jeda panjang
4. DPerubahan tingkat kesadaran

A patient taking warfarin is diagnosed with an intracerebral haemorrhage. What is the priority treatment?

1. AUrgent reversal of the anticoagulant effect
2. BDoubling the warfarin dose to stabilise the INR
3. CStarting aspirin to prevent further clots
4. DIV thrombolysis within 4,5 hours

A patient with atrial fibrillation has had an ischaemic stroke. Which long-term medicine type most reduces the risk of another stroke?

1. AAn oral anticoagulant
2. BA loop diuretic
3. CA proton pump inhibitor
4. DA beta-agonist inhaler

Which complication is a particular risk in nephrotic syndrome?

1. ABleeding from low platelets
2. BVenous thrombosis
3. CLow cholesterol
4. DHypoglycaemia

Perawatan keperawatan mana yang penting untuk pasien yang menerima manitol untuk peningkatan tekanan intrakranial?

1. AMengklem kateter agar cairan tetap di dalam tubuh
2. BMemberikan obat secara oral bersama makan untuk mengurangi mual
3. CMenghentikan bagan keseimbangan cairan selama pengobatan
4. DPemantauan ketat keluaran urine, natrium, dan osmolalitas

A nurse teaches a young adult with newly diagnosed epilepsy. Which statement shows a need for further teaching?

1. A"I will keep a record of any seizures I have."
2. B"I will take a shower rather than a bath."
3. C"As long as I take my tablets, I can swim alone."
4. D"I will tell my friends what to do if I have a seizure."