解答つき内科外科看護：神経、内分泌、腎臓ワークシート

Why can a new arteriovenous fistula not be used straight away?

1. AThe artery must first grow back to its full size
2. BThe stitches must be removed first
3. CThe arm must be in plaster for a month
4. DThe vein needs weeks to enlarge and thicken

What is a goitre?

1. AAn overactive parathyroid gland
2. BAn enlarged thyroid gland
3. CA tumour of the adrenal gland
4. DA swollen lymph node in the armpit

What does the HbA1c test show?

1. AThe amount of insulin the pancreas is making
2. BThe blood glucose at the exact moment that the sample is taken
3. CThe glucose level over the last 24 hours only
4. DThe average blood glucose over about two to three months

A patient with a spinal cord injury can still feel a light touch around the anus. What does this show?

1. AThe sensation is only a spinal reflex and has no real meaning for recovery
2. BThe patient has an injury of the brain, not the cord
3. CThe injury is complete, and recovery is not possible
4. DThe injury is incomplete, which suggests a better chance of recovery

A patient takes levodopa for Parkinson's disease. Which teaching point is correct?

1. ALarge high-protein meals can reduce how well the drug works
2. BStop the drug for a day each week to avoid tolerance
3. CThe tablets work best taken with a large steak dinner
4. DThe drug cures the disease if taken for a full year

A patient on peritoneal dialysis has gained weight and has higher glucose levels. Which part of the treatment is the likely cause?

1. ASodium lost into the dialysis fluid
2. BGlucose absorbed from the dialysis fluid
3. CProtein lost into the dialysis fluid
4. DAir entering the abdomen during exchanges

A patient had a witnessed tonic-clonic seizure. Afterwards their left arm is weak, and the weakness improves over the next few hours. What is the best interpretation?

1. ACertainly a stroke, so the seizure can be ignored
2. BA sign that the patient is pretending to be weak
3. CNormal postictal tiredness that needs no further assessment or imaging at all
4. DPossible postictal (Todd's) paresis, but a stroke must still be excluded

A patient has erratic glucose readings. The nurse finds a soft, rubbery lump where they always inject. What is the most important teaching?

1. AUse healthy sites and check glucose often, as less insulin may be needed
2. BKeep injecting into the lump, because it hurts less there
3. CDouble the insulin dose because the lump blocks the insulin
4. DMassage the lump firmly after every injection