PDF Diploma in Kenya Registered Community Health Nursing (KRCHN)

Endocrine and Neurological Nursing Examination: Thyroidectomy Care, Cushing's Syndrome, Acromegaly, Myxoedema, Addison's Disease, Epilepsy, Spinal Injury and Meningitis

An endocrine and neurology examination paper in three parts, opened by ten multiple choice items on the gland that produces antidiuretic hormone, the excess of corticosteroids behind Cushing's syndrome, the immediate nursing care after a thyroidectomy, the cause of acromegaly, the features of myxoedema, the short-term complications after thyroid surgery, the intervention for hypercalcaemia, the structure involved in nephrogenic diabetes insipidus, the outcome of untreated congenital thyroid hormone deficiency and the usual cause of Addison's disease. The short answers ask for the functions of the endocrine glands, the specific nursing care after a thyroidectomy, the nursing diagnoses for a patient with a thyroid disorder, the clinical features of hypercalcaemia and a labelled diagram of the pituitary gland, and the neurology section takes the types of epilepsy, the nursing care of a spinal injury, the features of a brain abscess, the nursing diagnoses for a head injury and the functions of cerebrospinal fluid. The long answer sets out meningitis - its causes, clinical features, investigations and the nursing management of the patient in the first forty-eight hours.

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