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

How is the headache of a subarachnoid haemorrhage typically described?

1. AA tight band around the head that comes and goes
2. BOne-sided and throbbing, with an aura beforehand
3. CSudden and severe, reaching its peak within about a minute
4. DSlowly worsening over several weeks, worst in the morning

What is an early sign of kidney damage from diabetes?

1. ABlood in the urine that is visible
2. BA very low blood urea level
3. CSmall amounts of albumin in the urine
4. DPain felt in both kidneys at night

Which finding is a common reason for urgent dialysis?

1. AHyperkalaemia that does not respond to treatment
2. BA mildly raised creatinine with no symptoms
3. CA single episode of itching
4. DA haemoglobin of 105 g/L (10,5 g/dL) with mild tiredness

Which action is part of an effective bowel programme after a spinal cord injury?

1. AAvoiding fibre to prevent bloating
2. BA routine at the same time each day, often after a meal
3. CUsing strong laxatives only when the bowel has not opened for a week
4. DRestricting fluids to reduce the volume of stool

For which patient with migraine would the nurse question an order for sumatriptan?

1. AA patient who also has asthma
2. BA patient with a history of angina
3. CA patient with well-controlled hypothyroidism
4. DA patient with an allergy to penicillin

Why are tacrolimus blood levels checked regularly?

1. AToo high harms the kidney; too low risks rejection
2. BThe levels show whether the patient has diabetes
3. CThe levels show how much urine the kidney is making
4. DThe drug only works if levels are as high as possible

A patient has had a high sodium of 160 mmol/L for several days. Why must it be corrected slowly?

1. AThe sodium will rise again if corrected quickly
2. BRapid correction causes kidney stones
3. CRapid correction can cause brain swelling
4. DRapid correction raises the blood glucose

Seorang pasien PGK memiliki hemoglobin 92 g/L dan memulai agen perangsang eritropoiesis (ESA). Apa yang harus dipantau perawat?

1. ATekanan darah dan hemoglobin, karena kenaikan berlebihan meningkatkan risiko bekuan
2. BPendengaran, karena ESA dapat merusak telinga dalam
3. CGlukosa darah, karena ESA sering menyebabkan hipoglikemia
4. DEnzim hati, karena ESA toksik bagi hati