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April 21, 2016

Cast are: a.end-product of proteins metabolism b.White blood cells in urine c.renal stones in the pelvis of the kidney d.small cyndrial protein bodies which indicate renal disease

Q.1.One of the following diseases results from excessive permeability to plasma proteins:
a.nephritic syndrome
b.glomerulonephritis
c.neulogenic bladder
d.pyelonephritis
(1 mark)
Q.2.Angiostein converting enzyme inhibitors are given in treatment of nephritic syndrome because they:
a.increase potassium excretion in urine
b.decrease protein excretion in urine
c.suppress immune-system
d.increase lipids concentration in blood
(1 mark)
Q.3.In healthy young adults,normally proteins may show in urine because:
a.tissues are not fully formed
b.the glomerular filter is damaged
c.exercise and prolonged standing
d.proteins are normally not re-absorbed at this age
(1 mark)
Q.4.Cast are:
a.end-product of proteins metabolism
b.White blood cells in urine
c.renal stones in the pelvis of the kidney
d.small cyndrial protein bodies which indicate renal disease
(1 mark)
Q.5.Some signs and symptoms of glomerulo nephritis include:
a.pus in urine,marked renal insufficiency
b.varying degree of haematuria,palpable mass in the flank
c.diarrhea,twitching progressing of coma
d.proteinuria,elevate blood urea
(1 mark)
Q.6.One of the following includes indications of cystoscopy:
a.Renal calculi,bladder perforation
b.urinary retension,treat bleeding lesions
c.insert urethral catheter,obtain biopsy of bladder lesions
d.urinary retention,urinary tract haemorrhage

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The Case of the Nurse Addict Judy Boise and Claire Temple have been colleagues for a long time—they have worked together at the same hospital for 6 years. Since obtaining a divorce, however, Ms. Temple’s personality has changed. She often makes silly comments or giggles at inappropriate times. At other times, Ms. Temple is very irritable and resorts to taking medication for her “nerves.” Ms. Boise suspects that her friend is developing a drug dependency. Her suspicion is confirmed one day when Ms. Temple asks Ms. Boise to work for her while she sleeps off the effects of some medication. Ms. Boise confronts her friend with her suspicions. Ms. Temple acknowledges that she has been taking cocaine but asks Ms. Boise not to tell other nurses about the nature of her problem. Ms. Boise promises not to tell. The next day, however, Ms. Boise finds Ms. Temple asleep in a chair in an empty room when she should be taking care of a patient. Does Ms. Boise have an obligation to break the promise she made to Ms. Temple in order to protect their patients from unsatisfactory levels of nursing care? How much respect for confidentiality can one expect from a fellow nurse?

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