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

Which picture is typical of Guillain–Barré syndrome?

1. ARising weakness from the legs, weeks after an infection
2. BMuscle weakness that worsens late in the day and improves with rest
3. CA sudden one-sided facial droop with slurred speech
4. DA resting tremor that slowly spreads to the other hand

What is diabetic gastroparesis?

1. ASlow emptying of the stomach due to nerve damage
2. BInflammation of the pancreas from high glucose
3. CA stomach ulcer caused by long-term metformin use
4. DA blockage of the small bowel by scar tissue

How is the pain of renal colic typically described?

1. AA dull ache in the lower back after lifting
2. BBurning pain in the chest after meals
3. CPain in the right lower abdomen that started near the navel
4. DSevere pain that comes in waves from the loin to the groin

Which nursing action helps most to prevent and manage delirium in an older inpatient?

1. AMove the patient to a different room each day for variety
2. BUse glasses and hearing aids and reorient the patient often
3. CRestrain the patient so that they do not wander off the ward
4. DKeep the lights on all night so the patient can see clearly

Which nursing care is most important for a patient with diabetes insipidus?

1. AWeighing the patient once a month
2. BA strict fluid restriction to reduce the amount of urine passed
3. CStrict fluid balance, daily weight and free access to water
4. DGiving a loop diuretic to clear extra fluid

During continuous bladder irrigation, 3200 mL drains out in a shift. 2500 mL of irrigation fluid was put in. What is the true urine output?

1. A3200 mL
2. B2500 mL
3. C700 mL
4. D5700 mL

After removal of a cortisol-producing adrenal adenoma, why may the patient need hydrocortisone for months?

1. AHydrocortisone helps the wound to heal
2. BThe other adrenal gland has been suppressed
3. CThe operation always removes both adrenal glands
4. DThe tumour will grow back quickly without it

An 84-year-old man became more confused a week after starting oxybutynin. Infection has been ruled out. What should the nurse suspect?

1. AA sign that the drug dose is too low
2. BNormal ageing that needs no review
3. CA symptom of a high potassium from the drug
4. DAnticholinergic side effects of the drug