Choroby wewnętrzne i chirurgiczne: neurologia, endokrynologia i nerki: karta pracy z odpowiedziami

Why do patients with chronic kidney disease often develop bone disease?

1. AThe kidneys release too much calcium into the bones
2. BPatients usually drink too much milk
3. CThe bones are attacked by antibodies made in the kidneys
4. DThe kidneys cannot activate vitamin D or clear phosphate

A febrile patient has a rash that does not fade when a glass is pressed against it. What should the nurse suspect?

1. AMeningococcal septicaemia
2. BA simple viral skin rash
3. CAn allergic reaction to soap
4. DHeat rash from a high temperature

What is the purpose of a steroid emergency card or medical alert ID?

1. ATo let the patient buy steroids without a prescription
2. BTo record the patient's blood glucose results
3. CTo warn staff that extra steroid is needed in illness or injury
4. DTo show that the patient is allergic to all types of steroid medicine

Dlaczego po urazie rdzenia kręgowego często uczy się samodzielnego cewnikowania przerywanego?

1. APęcherz może się nie opróżniać, a regularne opróżnianie chroni nerki
2. BTrenuje pęcherz, aby stopniowo się powiększał
3. CSłuży głównie do dokładnego pomiaru diurezy
4. DCałkowicie usuwa ryzyko zakażenia układu moczowego

Który wynik badania moczu najlepiej odróżnia moczówkę prostą od SIADH?

1. AMoczówka prosta daje mocz stężony; SIADH daje mocz rozcieńczony
2. BMoczówka prosta daje glukozę w moczu; SIADH daje białko
3. COba schorzenia dają bardzo stężony mocz
4. DMoczówka prosta daje mocz rozcieńczony; SIADH daje mocz stężony

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

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

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

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

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

1. AA patient after thyroidectomy with mild pain on swallowing
2. BA patient with Graves' disease asking about radioactive iodine
3. CA patient with hyperthyroidism who is confused, with a temperature of 39,5 °C (103,1 °F)
4. DA patient with hypothyroidism who has been constipated for three days