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

Mengapa CT scan kepala harus dilakukan sebelum trombolisis untuk stroke?

1. AUntuk menyingkirkan perdarahan, yang akan diperburuk oleh trombolisis
2. BUntuk mengukur sudah berapa lama gejala dimulai
3. CUntuk memeriksa apakah pasien pernah mengalami stroke sebelumnya
4. DUntuk melihat apakah pasien juga mengalami fraktur tengkorak

Why can a new arteriovenous fistula not be used straight away?

1. AThe stitches must be removed first
2. BThe artery must first grow back to its full size
3. CThe vein needs weeks to enlarge and thicken
4. DThe arm must be in plaster for a month

Which type of insulin is given intravenously, for example in an insulin infusion?

1. AIntermediate-acting NPH (isophane) insulin
2. BPremixed biphasic insulin
3. CLong-acting insulin glargine
4. DSoluble (regular) short-acting insulin

A patient on insulin asks about drinking alcohol. Which advice is correct?

1. AAlcohol can cause hypos, even the next day, so eat carbs with it
2. BAlcohol should replace a meal on the days it is drunk
3. CAlcohol has no effect on blood glucose in people with diabetes
4. DAlcohol raises glucose, so extra insulin should be taken first

What is the main purpose of continuous bladder irrigation after a transurethral resection of the prostate (TURP)?

1. ATo stop blood clots from blocking the catheter
2. BTo give the patient extra fluids
3. CTo measure the size of the bladder
4. DTo treat a urinary infection after the operation

Which finding most suggests fluid overload in a patient with chronic kidney disease?

1. AA dry mouth and a low blood pressure when standing
2. BA weight loss of 1 kg (2,2 lb) after a hot day
3. CDark yellow urine and thirst
4. DA weight gain of 2 kg (4,4 lb) in two days with ankle swelling

Seorang pasien dengan pemberian makan enteral kontinu semalaman menerima insulin yang disesuaikan dengan makanan. Pukul 02:00 selang tersumbat dan pemberian makan berhenti. Apa risiko utamanya, dan apa yang harus dilakukan perawat?

1. AKetoasidosis; hentikan semua insulin sampai pagi
2. BHipoglikemia; periksa glukosa sering dan ikuti rencana untuk penutup glukosa
3. CTidak ada risiko; insulin akan tersimpan sampai pemberian makan dimulai lagi
4. DHiperglikemia; berikan dosis insulin tambahan segera

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