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

What is a positive Kernig's sign?

1. ABruising behind the ear after a head injury
2. BBending of the hips and knees when the neck is flexed
3. CPain and resistance when the knee is straightened with the hip flexed
4. DTwitching of the facial muscles when the cheek is tapped in front of the ear

Quando va di solito somministrata un'insulina ad azione rapida come l'insulina aspart o lispro?

1. ASubito prima o insieme al pasto
2. BPrima di dormire, senza cibo
3. CUna volta al giorno, indipendentemente dai pasti
4. DCirca due ore dopo un pasto

Which is a common effect of long-term corticosteroid treatment?

1. AWeight loss and a slim face
2. BLow blood glucose
3. CThinning of the bones
4. DA lower risk of infections

Un paziente con ictus dell'emisfero destro ignora il cibo sul lato sinistro del piatto. Come si chiama?

1. AAfasia espressiva
2. BEminegligenza sinistra
3. CDisfagia
4. DAtassia cerebellare

Un paziente ha un'emianopsia omonima dopo un ictus. Come deve aiutarlo l'infermiere all'inizio?

1. AAvvicinarsi dal lato in cui vede e insegnargli a girare la testa per esplorare
2. BMettere il campanello e le bevande sul lato senza visione, per allenarlo
3. CCoprire con una benda l'occhio del lato colpito
4. DTenere la stanza buia per ridurre la stimolazione visiva

A patient taking sodium valproate becomes tired and is vomiting, and the nurse notices yellowing of the eyes. What is the main concern?

1. AA normal adjustment reaction to the drug
2. BA sign that the dose is too low
3. CLiver toxicity from valproate
4. DDehydration from drinking too little

A patient with a cervical spinal cord injury is helped to sit up for the first time. They become dizzy and pale, and the BP falls from 110/70 to 78/46 mmHg. What should the nurse do?

1. AContinue sitting them upright, because it will pass in an hour
2. BGive a large meal and a strong coffee to raise the blood pressure
3. CLower the patient back towards lying, then raise them gradually later
4. DStand the patient up to improve the blood flow to the legs

A patient with type 1 diabetes has a seizure on the ward. Their capillary glucose is 1,9 mmol/L (34 mg/dL). They cannot swallow. What is the most appropriate treatment?

1. AAn antiepileptic drug only, because seizures need seizure treatment
2. BA rapid-acting insulin dose to stabilise the glucose
3. CIV glucose or IM glucagon, then recheck the glucose
4. DGlucose gel squeezed into the mouth during the seizure