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

Which picture is typical of Guillain–Barré syndrome?

1. AA resting tremor that slowly spreads to the other hand
2. BA sudden one-sided facial droop with slurred speech
3. CRising weakness from the legs, weeks after an infection
4. DMuscle weakness that worsens late in the day and improves with rest

Czym jest faza poiktalna?

1. AOdczucie ostrzegawcze tuż przed rozpoczęciem napadu
2. BOkres senności i splątania po napadzie
3. CFaza usztywnienia na początku napadu toniczno-klonicznego
4. DNapad trwający dłużej niż pięć minut

Which feature best distinguishes delirium from dementia?

1. AMemory problems in a person over the age of 75
2. BDifficulty finding the right words
3. CA sudden onset with attention that comes and goes
4. DGetting lost in places that were familiar

A patient with type 1 diabetes has gastroenteritis and cannot eat. Which sick-day advice is correct?

1. AStop all insulin until normal eating restarts
2. BAvoid drinking fluids to reduce the vomiting
3. CCheck glucose once a day only and rest in bed until better
4. DKeep taking basal insulin and check glucose and ketones more often

Which nursing action helps most to prevent and manage delirium in an older inpatient?

1. AKeep the lights on all night so the patient can see clearly
2. BRestrain the patient so that they do not wander off the ward
3. CMove the patient to a different room each day for variety
4. DUse glasses and hearing aids and reorient the patient often

After a lumbar discectomy, which finding should the nurse report promptly?

1. AMild pain at the wound site
2. BA dry, intact wound dressing
3. CNew weakness or numbness in the legs
4. DStiffness when getting out of bed

A kidney transplant recipient has had vomiting and diarrhoea for two days. Why should the transplant team be contacted?

1. AThe patient may not be absorbing their immunosuppressants
2. BThe kidney will start to produce far too much urine
3. CThe tablets will make the vomiting stop
4. DVomiting proves that rejection has already happened

A patient on haemodialysis is on a medical ward. Which task can the registered nurse delegate to a healthcare assistant (nursing assistant)?

1. ATeaching the patient about fluid restriction
2. BAssessing the thrill and bruit of the fistula
3. CWeighing the patient before they go to dialysis
4. DDeciding which morning medicines to hold