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

Which is the most important modifiable risk factor for stroke?

1. AHigh blood pressure
2. BFamily history of stroke
3. CMale sex
4. DOlder age

Which classic triad is described in renal cell carcinoma, although few patients have all three?

1. AHaematuria, flank pain and a palpable mass
2. BFever, headache and a stiff neck
3. CDysuria, frequency and urgency
4. DPolyuria, thirst and weight loss with tiredness

How do sulfonylureas such as gliclazide lower blood glucose?

1. AThey replace insulin that the body lacks
2. BThey slow down the absorption of food
3. CThey make the kidneys pass more glucose
4. DThey make the pancreas release more insulin

Why is good blood pressure control important in chronic kidney disease?

1. AIt lowers the blood glucose
2. BIt slows the decline in kidney function
3. CIt raises the haemoglobin level in the blood
4. DIt cures chronic kidney disease

A routine blood test shows a potassium of 6,4 mmol/L. The lab reports that the sample was haemolysed. The patient feels well. What should the nurse do?

1. AGive oral potassium supplements straight away
2. BIgnore it, because haemolysis always gives a normal result
3. CStart dialysis as soon as possible
4. DInform the doctor and arrange an urgent repeat sample

Which long-term risk should a kidney transplant recipient be taught to reduce with sun protection?

1. AHair loss
2. BSkin cancer
3. CKidney stones
4. DGout

A patient on warfarin starts levothyroxine for hypothyroidism. What should the nurse expect to monitor more closely?

1. AThe blood glucose, because it may fall
2. BThe potassium, because it may rise
3. CThe INR, because it may rise
4. DThe urine output, because it may stop

A patient with acute glomerulonephritis has a BP of 190/115 mmHg, a severe headache and blurred vision. Which is the priority?

1. AUrgent escalation for BP control and close neuro checks
2. BEncourage a walk to relieve the headache
3. CGive extra oral fluids to correct the low urine output
4. DRecheck the BP at the next routine round