Робочий аркуш «Медсестринство в терапії та хірургії: нервова, ендокринна та сечовидільна системи» з відповідями

Which substance do the kidneys release that helps raise blood pressure?

1. ABile
2. BInsulin
3. CRenin
4. DThyroxine

Which organism causes most urinary tract infections?

1. AStreptococcus pneumoniae
2. BEscherichia coli
3. CStaphylococcus aureus
4. DCandida albicans

How is the headache of a subarachnoid haemorrhage typically described?

1. ASudden and severe, reaching its peak within about a minute
2. BOne-sided and throbbing, with an aura beforehand
3. CSlowly worsening over several weeks, worst in the morning
4. DA tight band around the head that comes and goes

A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?

1. AThere are no precautions, because the dose is tiny
2. BLimit close contact with children and pregnant women for a time
3. CStay in strict isolation in hospital for several months
4. DStart breastfeeding again the next day

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

1. AStand up slowly, because it can make you dizzy
2. BTake it with grapefruit juice to make it work better
3. CStop it if the urine stream improves
4. DExpect the drug to shrink the prostate within a day

Which side effects are common with oxybutynin for an overactive bladder?

1. AA cough and a raised potassium
2. BDiarrhoea and heavy sweating
3. CWeight loss and a fast tremor
4. DDry mouth and constipation

Пацієнт, що одужує після гострого канальцевого некрозу, входить у поліуричну фазу, виділяючи понад 4 L сечі на добу. Що головне турбує медсестру?

1. AЗатримка сечі в розтягнутому міхурі
2. BЗневоднення з низьким калієм і натрієм
3. CГіпоглікемія через надлишок інсуліну
4. DПеревантаження рідиною з високими рівнями калію

A patient with an insulin pump is admitted with nausea, a glucose of 19 mmol/L (342 mg/dL) and blood ketones of 3,1 mmol/L. What is the priority?

1. ADisconnect the pump and give no insulin until the ketones clear
2. BGive an antiemetic only, because nausea is causing the high glucose
3. CSuspect failed insulin delivery and give insulin by another route
4. DIncrease the pump rate and recheck the ketones in 12 hours