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

Quale azione va evitata sul braccio con una fistola per emodialisi?

1. ALavarlo con acqua e sapone
2. BMuovere il braccio in modo normale
3. CPalpare delicatamente la fistola per sentire il fremito
4. DBracciali per la pressione o prelievi di sangue

Which symptoms are typical of diabetic peripheral neuropathy?

1. APain in the calves that starts when walking
2. BMorning stiffness of the small hand joints
3. CA painful red, hot swollen big toe at night
4. DNumbness, tingling or burning in the feet

Quali caratteristiche sono tipiche della malattia di Addison (insufficienza surrenalica primaria)?

1. AAumento di peso, pressione alta e strie violacee
2. BAffaticamento, perdita di peso, pressione bassa e cute scura
3. CSodio alto e potassio basso nel sangue
4. DIntolleranza al caldo, tremore e occhi sporgenti

Un paziente con SIADH ha un sodio di 126 mmol/L e sintomi lievi. Quale trattamento è di solito di prima linea?

1. AAcqua extra per bocca
2. BRestrizione dei liquidi
3. CInfusione EV di glucosio al 5%
4. DDesmopressina

A patient is due a rapid-acting insulin dose before lunch, but the meal trays are delayed. What should the nurse do?

1. AGive the insulin now and the meal when it comes
2. BWait to give the insulin until the meal arrives
3. COmit the dose entirely for the rest of the day
4. DGive the insulin with a glass of water instead

Which group of drugs is a well-known cause of SIADH and hyponatraemia, especially in older people?

1. APenicillin antibiotics
2. BProton pump inhibitors
3. CSSRI antidepressants
4. DBulk-forming laxatives

A patient with a brain tumour on high-dose dexamethasone has a capillary glucose of 16 mmol/L (288 mg/dL). They have no history of diabetes. What is the best explanation?

1. AA sign that the brain tumour has now spread to the pancreas
2. BNormal for this patient, so no action is needed
3. CA lab error, because steroids lower blood glucose
4. DSteroid-induced hyperglycaemia, which needs monitoring and treatment

A nurse teaches a carer to give buccal midazolam for prolonged seizures. Which statement shows a need for further teaching?

1. A"I will call an ambulance if the care plan tells me to."
2. B"I will put something between his teeth so he does not bite his tongue."
3. C"I will write down the time the seizure started and the time I gave the dose."
4. D"I will give it into the space between his gum and cheek."