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

Which group of features is typical of Parkinson's disease?

1. AIntention tremor, muscle wasting and twitching under the skin
2. BWeakness rising from the feet, with tingling and lost reflexes
3. CResting tremor, rigidity and slow movement
4. DDrooping eyelids and double vision that get worse later in the day

What does the term epilepsy mean?

1. AA seizure caused only by low blood sugar
2. BAny brief loss of consciousness, such as fainting
3. CA single seizure caused by a high fever
4. DA tendency to have recurrent seizures that are not provoked

What is the most common cause of a high sodium in a frail older adult?

1. ANot drinking enough water
2. BTaking too much insulin
3. CEating too much fruit
4. DDrinking too much water

Quale affermazione sull'insulina basale ad azione prolungata come la glargine è corretta?

1. ASi miscela con l'insulina ad azione rapida nella stessa siringa
2. BHa un picco d'azione netto circa 30 minuti dopo l'iniezione
3. CSi somministra solo dopo i pasti abbondanti per coprire i carboidrati
4. DNel diabete di tipo 1 si prosegue anche quando il paziente non mangia

Before checking a capillary glucose, why should the patient wash their hands with soap and water?

1. ASugar on the skin can give a falsely high reading
2. BSoap makes the blood flow faster from the finger
3. CWashing prevents all infection from the lancet
4. DWashing lowers the glucose in the blood

A patient takes an SGLT2 inhibitor. Which sick-day advice is correct?

1. ADouble the dose during illness to control the glucose
2. BKeep taking it as normal, whatever the illness
3. CStop drinking fluids while taking the drug
4. DPause the drug during illness with vomiting or poor intake

Three days after a stroke, a patient with dysphagia on a modified diet has a temperature of 38,2 °C (100,8 °F), a respiratory rate of 24/min and crackles at the right lung base. What should the nurse do?

1. AGive paracetamol (acetaminophen) and continue the modified diet as before
2. BSuspect aspiration pneumonia, stop oral intake and escalate for review
3. CRecord the findings and recheck them at the next routine observation
4. DEncourage more fluids by mouth to treat the fever

An older man was found on the floor after lying there for many hours. His urine is dark brown, and his creatine kinase is very high. What is the main kidney risk and the key treatment?

1. AA urinary infection, treated with oral antibiotics only
2. BA kidney stone, treated with strong pain relief
3. CAKI from rhabdomyolysis, treated with generous IV fluids
4. DHypothermia, treated with a fluid restriction