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

What does aldosterone do?

1. ARaises the blood glucose between meals
2. BMakes the kidneys lose sodium and keep potassium
3. CMakes the kidneys keep sodium and lose potassium
4. DLowers the blood calcium after meals

Why are patients with a spinal cord injury at very high risk of pressure injuries?

1. ATheir skin is thinner than other people's skin
2. BThey usually have a high fever for many weeks
3. CThey cannot feel or move the body below the injury
4. DTheir blood sugar is always very high, which damages the skin

Quale squilibrio elettrolitico è una complicanza pericolosa dell'insufficienza renale?

1. AIperkaliemia
2. BIpernatremia
3. CIpercalcemia
4. DIpokaliemia

Why is IV calcium gluconate given in severe hyperkalaemia?

1. AIt binds potassium in the gut
2. BIt removes potassium through the kidneys
3. CIt protects the heart from arrhythmias
4. DIt moves potassium into the cells

For which patient would the nurse question an order for pioglitazone?

1. AA patient with asthma
2. BA patient with heart failure
3. CA patient with hypothyroidism
4. DA patient with an allergy to latex

A patient is starting lamotrigine. Which teaching point is most important?

1. AReport any skin rash promptly, especially in the first weeks
2. BDouble the dose if a seizure happens
3. CExpect an orange tint to tears and urine
4. DTake it with a glass of grapefruit juice to improve its absorption

A patient with motor neurone disease reports morning headaches, poor sleep and sleepiness during the day. What do these symptoms suggest?

1. AA side effect of riluzole, which should be stopped straight away by the nurse
2. BNormal tiredness that needs no specific action
3. CLow mood, which should be treated with an antidepressant first
4. DWeak breathing at night, so a review for ventilation support

A nurse teaches the family of a patient on insulin how to manage a severe hypo. Which statement shows a need for further teaching?

1. A"I will put her on her side and call an ambulance straight away."
2. B"When she can swallow, I will give her a snack."
3. C"If she is unconscious, I will pour juice into her mouth."
4. D"I will give the glucagon as I was shown."