Терапия и хирургия: нервная, эндокринная системы и почки: лист заданий с ответами
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1.Лёгкая
How is the pain of renal colic typically described?
AA dull ache in the lower back after lifting
BSevere pain that comes in waves from the loin to the groin
CPain in the right lower abdomen that started near the navel
DBurning pain in the chest after meals
2.Лёгкая
What is the main cause of type 1 diabetes?
AAutoimmune destruction of the insulin-making beta cells
BEating too much sugar and sweet food during childhood
CInsulin resistance caused mainly by excess body weight
DA lack of glucagon from the pancreas
3.Лёгкая
How should a peritoneal dialysis catheter exit site be cared for?
AKept clean and dry and checked daily for redness
BCleaned with a strong bleach solution
CCovered with a tight bandage and not looked at for a week
DSoaked in a hot bath every day
4.Средняя
A patient taking a GLP-1 receptor agonist has severe, constant upper abdominal pain spreading to the back, with vomiting. What should the nurse suspect?
AAcute pancreatitis
BLow blood glucose
CNormal nausea from the drug
DA simple urinary tract infection
5.Средняя
A patient with multiple sclerosis says their symptoms get worse after a hot bath. What should the nurse explain?
AHot baths cause new areas of damage in the brain
BThis shows that the disease has entered a new progressive stage
CHeat can briefly worsen MS symptoms, which settle when they cool down
DThey should take very cold baths to reverse the damage
6.Средняя
A patient has acute glomerulonephritis with oedema and high blood pressure. Which nursing care is most appropriate?
AEncourage a high-salt diet to balance the fluids
BCheck the weight once a week
CMonitor BP, fluid balance and daily weight
DGive large amounts of IV fluid
7.Сложная
Two days after a spinal cord injury, a patient has a swollen abdomen, no bowel sounds and is vomiting. What is most likely, and what is the nursing action?
AAn allergic reaction to food, so give an antihistamine
BA full bladder, so encourage oral fluids
CNormal constipation, so give a large meal to stimulate the bowel
DParalytic ileus, so keep nil by mouth and prepare for an NG tube
8.Сложная
The day after a lumbar puncture, a patient has a headache that is severe when standing and almost gone when lying flat. Temperature and neck movement are normal. What is the most likely cause?
AA migraine triggered by stress
BA subarachnoid haemorrhage
CBacterial meningitis from the procedure
DPost-dural puncture headache
Ответы
1. B · Severe pain that comes in waves from the loin to the groin
2. A · Autoimmune destruction of the insulin-making beta cells
3. A · Kept clean and dry and checked daily for redness
4. A · Acute pancreatitis
5. C · Heat can briefly worsen MS symptoms, which settle when they cool down
6. C · Monitor BP, fluid balance and daily weight
7. D · Paralytic ileus, so keep nil by mouth and prepare for an NG tube
8. D · Post-dural puncture headache
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