Werkblad Medisch-chirurgisch: neurologie, endocrinologie en nieren met antwoorden

What is urge incontinence?

1. ADribbling because the bladder never empties
2. BLeaking only when laughing, coughing or lifting heavy objects
3. CA sudden, strong need to pass urine, followed by leaking
4. DLeaking because the toilet is too far away

Wanneer moet een snelwerkende insuline zoals insuline aspart of lispro meestal worden gegeven?

1. AVlak vóór of tijdens een maaltijd
2. BOngeveer twee uur na een maaltijd
3. CEén keer per dag, ongeacht de maaltijden
4. DVoor het slapengaan, zonder eten

What is a suprapubic catheter?

1. AA tube placed into the kidney through the back
2. BA small catheter used only once and then removed
3. CA catheter put into the bladder through the abdomen
4. DA catheter passed into the bladder through the urethra

Which picture fits Brown-Séquard syndrome?

1. ALoss of all feeling but normal movement on both sides
2. BWeakness on the same side and loss of pain on the opposite side
3. CParalysis of both legs, with normal sensation everywhere in the body
4. DWeakness of both arms with normal strength in the legs

A patient has acute low back pain with no red flags. Which advice is most appropriate?

1. AAvoid all movement until an MRI scan has been done
2. BWear a rigid back brace all day and night for at least three months
3. CStay in bed for two weeks until the pain is gone
4. DStay as active as possible and use simple pain relief

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 should replace a meal on the days it is drunk
3. CAlcohol raises glucose, so extra insulin should be taken first
4. DAlcohol can cause hypos, even the next day, so eat carbs with it

A patient with a head injury now has a blood pressure of 190/70 mmHg, a pulse of 48/min and irregular breathing. How should the nurse interpret this?

1. ANeurogenic shock from a spinal cord injury
2. BCushing's triad, a late sign of raised intracranial pressure
3. CHypovolaemic shock from internal bleeding
4. DA normal stress response to pain, anxiety and the noise of the ward

Welke verpleegkundige zorg is belangrijk voor een patiënt die mannitol krijgt voor verhoogde intracraniële druk?

1. ADe katheter afklemmen om vocht in het lichaam te houden
2. BDe vochtbalanslijst tijdens de behandeling stopzetten
3. CHet middel oraal bij de maaltijd geven om misselijkheid te verminderen
4. DNauwlettende bewaking van urineproductie, natrium en osmolaliteit