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

What is an aura before a seizure?

1. AA warning sensation, which is itself a small focal seizure
2. BThe confusion and sleepiness after a seizure ends
3. CA lasting change in vision that is caused by long-term epilepsy
4. DA rash that appears after some antiepileptic drugs

Which equipment should be ready at the bedside of a patient on seizure precautions?

1. AWrist restraints to stop the limbs jerking
2. BWorking suction and oxygen
3. CA urinary catheter in case of incontinence
4. DA tongue depressor to place between the teeth

Quale semplice test si usa per lo screening dei piedi delle persone con diabete per la perdita della sensibilità protettiva?

1. AToccare la pianta con un monofilamento da 10 g
2. BMisurare la circonferenza del polpaccio
3. CControllare il riempimento capillare delle dita delle mani
4. DMisurare la glicemia capillare su un dito del piede

A patient receives phenytoin through a nasogastric tube along with continuous enteral feed. Which issue should the nurse know about?

1. APhenytoin must be crushed and mixed into the feed bag
2. BThe feed increases phenytoin levels and causes toxicity within hours
3. CThe feed can reduce phenytoin absorption, so the feed is often paused around the dose
4. DPhenytoin makes the feed curdle, so the two must never be used in one patient

Which statement about giving IV potassium is correct?

1. AIt can be given quickly as a push to correct the level fast
2. BIt needs no monitoring at all once the infusion is running
3. CIt is safest given through a small vein in the hand at a fast rate
4. DIt is diluted and given through an infusion pump, never as a bolus

Why are patients on haemodialysis vaccinated against hepatitis B?

1. AHepatitis B vaccine improves the fistula flow
2. BThe vaccine is needed to make the dialyser work
3. CShared dialysis units carry a higher infection risk
4. DThe vaccine lowers the potassium level

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. APrimary hypothyroidism from thyroid failure
2. BSecondary hypothyroidism
3. CHyperthyroidism from Graves' disease
4. DOver-replacement with levothyroxine

Un paziente con ictus ischemico acuto non è candidato alla trombolisi. Al giorno 1 la PA è 190/100 mmHg senza altre emergenze. Che cosa è in genere appropriato?

1. AAbbassarla rapidamente a 110/70 mmHg con farmaci EV
2. BFar sdraiare il paziente e somministrare un grande bolo di liquidi
3. CEvitare un abbassamento aggressivo e seguire gli obiettivi del team dell'ictus
4. DDare spray di nitrato ogni 5 minuti finché non scende sotto 120 mmHg