1.简单
What is the most common cause of a high sodium in a frail older adult?
- AEating too much fruit
- BNot drinking enough water
- CTaking too much insulin
- DDrinking too much water
2.简单
How is the headache of a subarachnoid haemorrhage typically described?
- AA tight band around the head that comes and goes
- BSudden and severe, reaching its peak within about a minute
- COne-sided and throbbing, with an aura beforehand
- DSlowly worsening over several weeks, worst in the morning
3.简单
How does haemodialysis remove waste from the blood?
- AWaste diffuses across a membrane into a cleaning fluid
- BThe blood is spun so that waste sinks to the bottom
- CA filter in the stomach absorbs waste from food
- DThe waste is removed through a tube in the bladder
4.中等
A patient taking sodium valproate becomes tired and is vomiting, and the nurse notices yellowing of the eyes. What is the main concern?
- AA sign that the dose is too low
- BLiver toxicity from valproate
- CDehydration from drinking too little
- DA normal adjustment reaction to the drug
5.中等
Which lifestyle advice best helps a patient with epilepsy reduce their seizures?
- ADrink coffee in the evening to stay alert
- BSkip a dose on days without any warning signs
- CKeep regular sleep and take every dose on time
- DAvoid all physical exercise and stay indoors
6.中等
一名 SIADH 患者血钠 126 mmol/L,症状轻微。通常的一线治疗是什么?
- A额外口服水
- B静脉输注 5% 葡萄糖
- C去氨加压素
- D限制液体
7.困难
The day after a lumbar puncture, a patient has a headache that is severe when standing and almost gone when lying flat. Temperature and neck movement are normal. What is the most likely cause?
- AA migraine triggered by stress
- BA subarachnoid haemorrhage
- CBacterial meningitis from the procedure
- DPost-dural puncture headache
8.困难
Three days after a stroke, a patient with dysphagia on a modified diet has a temperature of 38.2 °C (100.8 °F), a respiratory rate of 24/min and crackles at the right lung base. What should the nurse do?
- ARecord the findings and recheck them at the next routine observation
- BGive paracetamol (acetaminophen) and continue the modified diet as before
- CEncourage more fluids by mouth to treat the fever
- DSuspect aspiration pneumonia, stop oral intake and escalate for review
答案
- 1. B · Not drinking enough water
- 2. B · Sudden and severe, reaching its peak within about a minute
- 3. A · Waste diffuses across a membrane into a cleaning fluid
- 4. B · Liver toxicity from valproate
- 5. C · Keep regular sleep and take every dose on time
- 6. D · 限制液体
- 7. D · Post-dural puncture headache
- 8. D · Suspect aspiration pneumonia, stop oral intake and escalate for review
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