Терапия и хирургия: нервная, эндокринная системы и почки: лист заданий с ответами

Какой уровень повреждения спинного мозга с наибольшей вероятностью остановит работу диафрагмы?

1. AПолное повреждение на уровне L3 или ниже
2. BПолное повреждение на уровне T10 или ниже
3. CПолное повреждение на уровне C3 или выше
4. DПолное повреждение на уровне S2 или ниже

Which symptoms are typical of uraemia in advanced kidney disease?

1. AHeat intolerance, tremor and weight loss
2. BSevere flank pain with visible blood in the urine
3. CItching, nausea, tiredness and poor appetite
4. DExcess thirst with a very high glucose

Which statement about adult polycystic kidney disease is correct?

1. AIt only ever affects one of the two kidneys
2. BIt is caused by drinking too little water
3. CIt is caused by repeated urinary infections
4. DIt is inherited, and cysts slowly enlarge both kidneys

A kidney transplant recipient asks about travel vaccines. Which statement is correct?

1. AOnly live vaccines are effective after a transplant
2. BLive vaccines are usually avoided
3. CAll vaccines are completely safe after a transplant
4. DVaccines will cause the kidney to be rejected

A routine blood test shows a potassium of 6,4 mmol/L. The lab reports that the sample was haemolysed. The patient feels well. What should the nurse do?

1. AStart dialysis as soon as possible
2. BInform the doctor and arrange an urgent repeat sample
3. CGive oral potassium supplements straight away
4. DIgnore it, because haemolysis always gives a normal result

A patient's potassium stays low despite replacement. Which other level should be checked?

1. AAmylase
2. BFerritin
3. CMagnesium
4. DBilirubin

A patient with trigeminal neuralgia has lost weight and has poor oral hygiene. Which plan is most appropriate?

1. AOffer soft, lukewarm food and advise chewing on the unaffected side
2. BTell the patient to stop brushing their teeth completely
3. CAdvise very hot drinks to relax the facial nerves
4. DEncourage hard, crunchy foods to strengthen the jaw muscles

After a TURP, a patient on bladder irrigation has bladder spasms. The drainage has slowed and contains clots, and the bag holds less than the irrigant given. What should the nurse do first?

1. ATurn off the irrigation and leave the catheter alone
2. BEncourage the patient to strain to pass the clots
3. CSuspect a clot in the catheter and follow the protocol
4. DGive an antispasmodic and recheck in four hours