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

Which type of insulin is given intravenously, for example in an insulin infusion?

1. ALong-acting insulin glargine
2. BIntermediate-acting NPH (isophane) insulin
3. CPremixed biphasic insulin
4. DSoluble (regular) short-acting insulin

Як зазвичай слід приймати левотироксин?

1. AНатще, за 30–60 хвилин до сніданку
2. BЛише в дні, коли пацієнт почувається втомленим
3. CЗ рясним сніданком, що включає молоко й каву
4. DПеред сном разом із таблеткою кальцію або заліза

What is automated peritoneal dialysis?

1. AA single exchange done once a week
2. BExchanges done overnight by a machine
3. CDialysis in hospital through an arm fistula
4. DDialysis that needs no fluid at all

Why is an ACE inhibitor often given to a patient with diabetes and albumin in the urine?

1. AIt raises potassium to protect the heart
2. BIt lowers the blood glucose to normal
3. CIt protects the kidneys and reduces albumin loss
4. DIt stops the kidneys from passing so much urine at night

Before surgery for a phaeochromocytoma, why is an alpha-blocker started before any beta-blocker?

1. AA beta-blocker alone can cause a dangerous rise in BP
2. BAlpha-blockers lower the blood glucose before surgery
3. CThe order of the two drugs makes no difference
4. DBeta-blockers given first would make the tumour grow faster

Why should long-term steroid treatment not be stopped suddenly?

1. AStopping causes the blood glucose to fall sharply
2. BStopping suddenly makes the bones grow too quickly and then fracture
3. CThe suppressed adrenal glands cannot make enough cortisol at once
4. DThe steroids build up and become toxic after they are stopped

A nurse teaches a woman with recurrent UTIs. Which statement shows a need for further teaching?

1. A"I will wipe from front to back."
2. B"I will hold my urine for as long as I can."
3. C"I will pass urine soon after sex."
4. D"I will drink enough fluids during the day."

A patient with stable epilepsy on phenytoin started a new medicine last week. They now have nystagmus, an unsteady gait and slurred speech. What should the nurse do?

1. ASuspect phenytoin toxicity, hold the next dose and ask for a drug level
2. BEncourage the patient to walk more to improve their balance
3. CGive the next phenytoin dose early to prevent a seizure
4. DSuspect a new stroke and give aspirin straight away before any scan