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

Diyabetik ketoasidoz (DKA) en sık hangi diyabet türüyle ilişkilidir?

1. ADiabetes insipidus
2. BTip 1 diyabet
3. CPrediyabet
4. DYalnızca diyetle tedavi edilen tip 2 diyabet

Diyabetli bir kişide hipoglisemiyi tanımlamak için yaygın olarak hangi kan glukoz düzeyi kullanılır?

1. A4,0 mmol/L'nin altı (yaklaşık 70 mg/dL)
2. B1,0 mmol/L'nin altı (yaklaşık 18 mg/dL)
3. C7,0 mmol/L'nin altı (yaklaşık 126 mg/dL)
4. D10 mmol/L'nin altı (yaklaşık 180 mg/dL)

Nöbet sırasında kaydedilecek en yararlı şey nedir?

1. AYalnızca sonunda hastanın vücut sıcaklığı
2. BNe zaman başladığı ve bittiği ve nasıl göründüğü
3. CBoyunca her dakika hastanın kan basıncı
4. DHastanın en son ne zaman bir şey yediği

Which nursing care is most important for a patient with diabetes insipidus?

1. AGiving a loop diuretic to clear extra fluid
2. BStrict fluid balance, daily weight and free access to water
3. CWeighing the patient once a month
4. DA strict fluid restriction to reduce the amount of urine passed

A patient on insulin asks about drinking alcohol. Which advice is correct?

1. AAlcohol has no effect on blood glucose in people with diabetes
2. BAlcohol can cause hypos, even the next day, so eat carbs with it
3. CAlcohol should replace a meal on the days it is drunk
4. DAlcohol raises glucose, so extra insulin should be taken first

A man starts tamsulosin for BPH. Which teaching point is most important?

1. AExpect the drug to shrink the prostate within a day
2. BStop it if the urine stream improves
3. CTake it with grapefruit juice to make it work better
4. DStand up slowly, because it can make you dizzy

A nurse teaches the family of a patient on insulin how to manage a severe hypo. Which statement shows a need for further teaching?

1. A"I will put her on her side and call an ambulance straight away."
2. B"When she can swallow, I will give her a snack."
3. C"If she is unconscious, I will pour juice into her mouth."
4. D"I will give the glucagon as I was shown."

A patient with an external ventricular drain sat up in bed without help. The drain stayed at its old height, and the drainage bag filled quickly. The patient now has a headache. What is the concern?

1. AUnderdrainage, so the drain should be lowered further
2. BAn infected drain, so the dressing should be removed
3. COverdrainage of CSF, so act per protocol and inform the team
4. DNo concern, because more drainage always lowers the ICP safely