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

Artmış kafa içi basıncının en erken ve en duyarlı bulgusu nedir?

1. ABilinç düzeyinde değişiklik
2. BUzun duraklamalı düzensiz solunum
3. CHer iki tarafta sabit, geniş pupiller
4. DYüksek kan basıncıyla birlikte bradikardi

How should a peritoneal dialysis catheter exit site be cared for?

1. AKept clean and dry and checked daily for redness
2. BCovered with a tight bandage and not looked at for a week
3. CSoaked in a hot bath every day
4. DCleaned with a strong bleach solution

What is a common complication after a lumbar puncture?

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

Which approach helps most when talking to a patient with expressive aphasia?

1. ASpeak louder, because the patient cannot hear well
2. BFinish their sentences quickly to save them effort
3. CAsk questions that can be answered with yes, no or a gesture
4. DAvoid talking to them until their speech has recovered

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

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

A nurse is teaching a patient going home after a mild concussion. Which statement shows a need for further teaching?

1. A"I will come back if I start vomiting again and again."
2. B"A few drinks tonight will help me relax and sleep."
3. C"Someone will stay with me for the first night."
4. D"I will return if my headache gets steadily worse."

Why might a frail 88-year-old with type 2 diabetes have a less strict HbA1c target?

1. ATo reduce the risk of hypos, falls and confusion
2. BBecause diabetes cannot damage older people
3. CBecause older people cannot use any glucose medicines
4. DTo save money on blood tests and drugs

Two days after surgery, an 80-year-old woman is quiet, sleepy, slow to answer and eating little. Her daughter says she is "not herself". What should the nurse suspect?

1. ANormal tiredness after an operation
2. BThe start of Alzheimer's disease
3. CSimple low mood about being in hospital
4. DHypoactive delirium