Scheda di esercizi di Area medico-chirurgica: neurologica, endocrina e renale con soluzioni

Why does a patient with a kidney transplant need lifelong medicines?

1. ATo keep the blood pressure low enough
2. BTo help the new kidney make more urine each day
3. CTo prevent kidney stones in the new kidney
4. DTo stop the immune system rejecting the new kidney

Which ECG change is typical of hyperkalaemia?

1. AFlattened T waves
2. BTall, peaked T waves
3. CA shortened PR interval
4. DProminent U waves

What happens in multiple sclerosis?

1. AThe immune system damages myelin in the brain and spinal cord
2. BAntibodies block signals at the junction between nerve and muscle
3. CMotor nerve cells slowly die without any inflammation
4. DA virus destroys the nerves in the arms and legs

A patient with Graves' eye disease has gritty eyes and swelling around them in the morning. Which advice is most appropriate?

1. ASmoking more will not affect the eyes
2. BUse lubricating drops and sleep with the head raised
3. CStay in bright sunlight to dry the eyes
4. DRub the eyes firmly each morning to reduce the swelling

Perché un paziente viene pesato prima e dopo ogni seduta di emodialisi?

1. APer calcolare la dose di ogni farmaco per la settimana successiva
2. BPerché la macchina non può partire senza un peso
3. CPer vedere quanti liquidi sono stati rimossi e guidare il peso secco
4. DPer controllare una perdita di peso dovuta a malnutrizione

A patient is due a rapid-acting insulin dose before lunch, but the meal trays are delayed. What should the nurse do?

1. AOmit the dose entirely for the rest of the day
2. BGive the insulin with a glass of water instead
3. CWait to give the insulin until the meal arrives
4. DGive the insulin now and the meal when it comes

A patient who had pituitary surgery has fatigue and feels cold. TSH is low, and free T4 is low. What is the most likely cause?

1. ASecondary hypothyroidism
2. BPrimary hypothyroidism from thyroid failure
3. COver-replacement with levothyroxine
4. DHyperthyroidism from Graves' disease

Two days after surgery, an 80-year-old woman is quiet, sleepy, slow to answer and eating little. Her daughter says she is "not herself". What should the nurse suspect?

1. ASimple low mood about being in hospital
2. BHypoactive delirium
3. CNormal tiredness after an operation
4. DThe start of Alzheimer's disease