Cevaplı Dahili-cerrahi: nöroloji, endokrin ve böbrek çalışma kâğıdı

What is a common complication after a lumbar puncture?

1. ALoss of hearing in one ear
2. BA headache that is worse when sitting or standing
3. CPermanent paralysis of both legs from nerve damage
4. DA rapid rise in blood glucose

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. CExcess thirst with a very high glucose
4. DItching, nausea, tiredness and poor appetite

What is sciatica?

1. ACramp in the calf muscle after exercise, caused by low potassium levels
2. BStiffness of the hips in the morning
3. CPain that spreads down the back of the leg from an irritated nerve root
4. DPain in the front of the knee caused by arthritis

How does the nurse test the facial nerve (VII)?

1. AAsk the patient to stick out the tongue and move it from side to side
2. BShine a light in each eye and check the pupil response
3. CTouch the forehead, cheek and chin with cotton wool
4. DAsk them to raise the eyebrows, shut the eyes tightly and smile

Before checking a capillary glucose, why should the patient wash their hands with soap and water?

1. AWashing lowers the glucose in the blood
2. BSugar on the skin can give a falsely high reading
3. CSoap makes the blood flow faster from the finger
4. DWashing prevents all infection from the lancet

Why is IV calcium gluconate given in severe hyperkalaemia?

1. AIt binds potassium in the gut
2. BIt protects the heart from arrhythmias
3. CIt removes potassium through the kidneys
4. DIt moves potassium into the cells

At bedtime, a patient was given their rapid-acting insulin by mistake instead of their long-acting insulin. What should the nurse do?

1. AGive glucagon now, before the glucose has fallen
2. BTell the prescriber and check glucose often overnight
3. CSay nothing, because the patient is asleep and seems fine
4. DGive the long-acting dose as well and check glucose at breakfast

C5 omurilik yaralanmasından iki gün sonra bir hasta kaygılıdır, solunum hızı 30/dk'dır ve vital kapasitesi düşmektedir. Hemşire ne yapmalıdır?

1. AAcilen üst basamağa bildirmeli: omurilik ödemi solunum yetmezliğine yol açabilir
2. BVital kapasiteyi yaklaşık 12 saat sonra yeniden kontrol etmelidir
3. CSolunumu yavaşlatmak ve kaygıyı gidermek için sedatif vermelidir
4. DHava yolunu açmak için hastayı düz yatırıp başı geriye eğmelidir