정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

동정맥루가 있는 환자가 더 이상 “윙윙거리지” 않는다고 말합니다. 간호사는 어떻게 해야 합니까?

1. A밤에는 정상이라고 안심시킨다
2. B흐름을 다시 시작하도록 꽉 조이는 붕대를 감는다
3. C동정맥루가 혈전으로 막혔을 수 있으므로 긴급히 보고한다
4. D흐름을 확인하려고 그 팔의 혈압을 잰다

환자에게 뇌의 왼쪽에 영향을 주는 뇌졸중이 생겼습니다. 근력 약화는 어디에 나타날 가능성이 가장 높습니까?

1. A몸의 오른쪽
2. B팔은 아니고 양쪽 다리
3. C얼굴의 왼쪽만
4. D몸의 왼쪽

Which cranial nerve makes the pupil constrict in response to light?

1. AOculomotor nerve (III)
2. BAbducens nerve (VI)
3. COptic nerve (II) alone
4. DTrochlear nerve (IV)

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

1. AWait to give the insulin until the meal arrives
2. BGive the insulin with a glass of water instead
3. CGive the insulin now and the meal when it comes
4. DOmit the dose entirely for the rest of the day

How do DPP-4 inhibitors such as sitagliptin work?

1. AThey stop the gut from absorbing fat
2. BThey block glucose reabsorption in the kidney
3. CThey replace insulin that the pancreas cannot make
4. DThey prolong the action of gut incretin hormones

Several hours after a carotid endarterectomy, which finding needs the most urgent action?

1. AA small amount of dried blood on the dressing
2. BMild pain at the incision site
3. CAn expanding neck swelling with noisy breathing
4. DA blood pressure slightly above the baseline

Three days after a stroke, a patient with dysphagia on a modified diet has a temperature of 38.2 °C (100.8 °F), a respiratory rate of 24/min and crackles at the right lung base. What should the nurse do?

1. ASuspect aspiration pneumonia, stop oral intake and escalate for review
2. BRecord the findings and recheck them at the next routine observation
3. CGive paracetamol (acetaminophen) and continue the modified diet as before
4. DEncourage more fluids by mouth to treat the fever

A patient had rapid-acting insulin before lunch, then vomited the meal 15 minutes later. What should the nurse do?

1. AMonitor glucose closely and tell the prescriber about the hypo risk
2. BIgnore it, because vomiting raises blood glucose
3. CGive another insulin dose because the meal was lost
4. DGive the evening long-acting insulin early to balance it