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

A febrile patient has a rash that does not fade when a glass is pressed against it. What should the nurse suspect?

1. AHeat rash from a high temperature
2. BAn allergic reaction to soap
3. CA simple viral skin rash
4. DMeningococcal septicaemia

Which statement about Huntington's disease is correct?

1. AIt is inherited and causes involuntary jerky movements
2. BIt is cured by levodopa
3. CIt is caused by a bacterial infection of the brain
4. DIt mainly affects children under the age of five years

Which symptoms are typical of uraemia in advanced kidney disease?

1. AHeat intolerance, tremor and weight loss
2. BSevere flank pain with visible blood in the urine
3. CExcess thirst with a very high glucose
4. DItching, nausea, tiredness and poor appetite

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. CPause the drug during illness with vomiting or poor intake
4. DStop drinking fluids while taking the drug

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

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

Perché un paziente viene pesato prima e dopo ogni seduta di emodialisi?

1. APerché la macchina non può partire senza un peso
2. BPer calcolare la dose di ogni farmaco per la settimana successiva
3. CPer controllare una perdita di peso dovuta a malnutrizione
4. DPer vedere quanti liquidi sono stati rimossi e guidare il peso secco

Six weeks after a kidney transplant, a patient has a fever, tenderness over the graft, less urine and a rising creatinine. What is most likely?

1. ADehydration that needs only more oral fluids and rest
2. BAcute rejection, needing urgent transplant team review
3. CA normal finding as the kidney settles in
4. DA side effect of sun exposure

Near the end of a haemodialysis session, a patient has painful leg cramps and a falling blood pressure. What is the most likely cause?

1. ANot enough fluid is being removed
2. BAn allergic reaction to the needles
3. CFluid is being removed too quickly
4. DThe dialysate is too cold