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

Un paziente ha un ictus che interessa il lato sinistro del cervello. Dove è più probabile che compaia la debolezza?

1. ASolo nella parte sinistra del viso
2. BIn entrambe le gambe ma non nelle braccia
3. CSul lato sinistro del corpo
4. DSul lato destro del corpo

What is the usual first-line treatment for stress urinary incontinence in women?

1. APelvic floor muscle training
2. BSurgery straight away
3. CA permanent urinary catheter
4. DRestricting fluids to half a litre a day

Which symptoms are classic for high blood glucose?

1. AWeight gain, feeling cold all the time and dry skin
2. BShaking, sweating and a racing heart
3. CJoint pain, morning stiffness and fever
4. DPassing a lot of urine, thirst and weight loss

For which patient with migraine would the nurse question an order for sumatriptan?

1. AA patient with a history of angina
2. BA patient with an allergy to penicillin
3. CA patient who also has asthma
4. DA patient with well-controlled hypothyroidism

A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?

1. AStart breastfeeding again the next day
2. BStay in strict isolation in hospital for several months
3. CLimit close contact with children and pregnant women for a time
4. DThere are no precautions, because the dose is tiny

A patient with type 1 diabetes plans a long cycle ride. Which advice is most appropriate?

1. ACheck glucose before and after, and carry fast-acting carbohydrate
2. BSkip breakfast so the exercise burns body fat
3. CTake an extra dose of rapid-acting insulin before setting off
4. DAvoid checking glucose until the ride is over

After a stroke, a patient suddenly cries or laughs at odd moments. They say they do not feel sad. Which response is most appropriate?

1. AIgnore it, because it shows that the patient is seeking attention from the staff
2. BAsk the doctor for a sedative to stop the outbursts
3. CExplain that this is emotional lability after stroke and help the family understand
4. DTell the patient that crying will slow their recovery

The nurse has four neurology patients. Which one needs to be seen first?

1. AA patient with a headache after a lumbar puncture this morning
2. BA patient with multiple sclerosis who is tired after physiotherapy
3. CA patient with Parkinson's disease whose next dose is due in one hour
4. DA patient with Guillain–Barré syndrome whose vital capacity is falling