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

Why should people with diabetic neuropathy avoid walking barefoot?

1. ABare feet lose too much heat through the skin
2. BThey may not feel an injury, so it can go unnoticed
3. CInsulin is absorbed less well from the feet and the legs
4. DWalking barefoot raises the blood glucose

Why do women get urinary tract infections more often than men?

1. AThe urethra is shorter and closer to the anus
2. BWomen's kidneys are smaller than men's
3. CWomen have more bacteria in their blood
4. DWomen drink more fluids than men do each day

What is diabetic gastroparesis?

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

A patient on insulin asks about drinking alcohol. Which advice is correct?

1. AAlcohol has no effect on blood glucose in people with diabetes
2. BAlcohol raises glucose, so extra insulin should be taken first
3. CAlcohol should replace a meal on the days it is drunk
4. DAlcohol can cause hypos, even the next day, so eat carbs with it

For which patient would the nurse question an order for pioglitazone?

1. AA patient with an allergy to latex
2. BA patient with asthma
3. CA patient with heart failure
4. DA patient with hypothyroidism

Pacientui, kuriam ŪIP, šlapimo pūslės kateteris nieko nenuteka. Kuris greitas patikrinimas prie lovos padeda atmesti poinkstinę priežastį?

1. ASkatinti pacientą gerti du litrus vandens
2. BIš karto suleisti didelį skysčių bolusą į veną
3. CIšsiųsti šlapimo mėginį pasėliui ir laukti laboratorijos rezultato
4. DPatikrinti, ar kateteris nesulinkęs ar neužsikimšęs, ir atlikti šlapimo pūslės skenavimą

An older man was found on the floor after lying there for many hours. His urine is dark brown, and his creatine kinase is very high. What is the main kidney risk and the key treatment?

1. AHypothermia, treated with a fluid restriction
2. BA urinary infection, treated with oral antibiotics only
3. CAKI from rhabdomyolysis, treated with generous IV fluids
4. DA kidney stone, treated with strong pain relief

A patient's glucose is 6,2 mmol/L (112 mg/dL) at 03:00 and 12 mmol/L (216 mg/dL) before breakfast. No hypoglycaemia occurred overnight. What is the most likely explanation?

1. AThe Somogyi effect from a night-time hypo
2. BThe meter is faulty and should be replaced
3. CThe dawn phenomenon from early-morning hormones
4. DA large snack eaten in the night by mistake