Užduočių lapas tema Vidaus ligų ir chirurginė slauga: nervų, endokrininė ir inkstų sistemos su atsakymais

Kuris požymis rodo peritonitą pacientui, gydomam peritonine dialize?

1. ASkaidrus, šiaudų spalvos ištekėjęs skystis
2. BDrumstas ištekėjęs skystis su pilvo skausmu
3. CŠiek tiek mažiau ištekėjusio skysčio nei įprasta po ekspozicijos
4. DLengvas troškulys po ilgos ekspozicijos

Which statement about Huntington's disease is correct?

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

Which ECG change is typical of hyperkalaemia?

1. AA shortened PR interval
2. BProminent U waves
3. CFlattened T waves
4. DTall, peaked T waves

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

Why is an ACE inhibitor often given to a patient with diabetes and albumin in the urine?

1. AIt lowers the blood glucose to normal
2. BIt raises potassium to protect the heart
3. CIt protects the kidneys and reduces albumin loss
4. DIt stops the kidneys from passing so much urine at night

A patient taking sodium valproate becomes tired and is vomiting, and the nurse notices yellowing of the eyes. What is the main concern?

1. ALiver toxicity from valproate
2. BA normal adjustment reaction to the drug
3. CDehydration from drinking too little
4. DA sign that the dose is too low

The nurse has four urology patients. Which one needs to be seen first?

1. AA patient with stress incontinence asking about pelvic floor exercises
2. BA patient with a suprapubic catheter due for a routine change
3. CA patient with a nephrostomy who has rigors and a BP of 86/50 mmHg
4. DA patient after TURP with light pink drainage and mild discomfort

A patient with a cervical spinal cord injury is helped to sit up for the first time. They become dizzy and pale, and the BP falls from 110/70 to 78/46 mmHg. What should the nurse do?

1. AStand the patient up to improve the blood flow to the legs
2. BLower the patient back towards lying, then raise them gradually later
3. CContinue sitting them upright, because it will pass in an hour
4. DGive a large meal and a strong coffee to raise the blood pressure