Scheda di esercizi di Infermieristica clinica con soluzioni

Qual è il target abituale di saturazione di ossigeno (SpO₂) per la maggior parte degli adulti acuti senza rischio di ipercapnia?

1. A80–84%
2. B88–92% per tutti
3. C94–98%
4. D100% in ogni momento

A DNACPR (do not attempt CPR; often called DNR or DNAR in the US) decision means that:

1. ACPR will not be attempted if the heart stops, but other care continues
2. BThe patient must be moved to a hospice
3. CAll treatment, including food, drink and pain relief, is stopped
4. DThe patient cannot receive antibiotics, fluids or any other active treatment

Shingles (herpes zoster) is caused by:

1. AReactivation of the chickenpox virus
2. BAn allergy to medicines
3. CA fungal infection of the nerves
4. DA bacterial skin infection

Why should a urinary catheter drainage bag be kept below the level of the bladder?

1. ATo make the bag easier for the nurse to empty
2. BTo stop the catheter from falling out
3. CTo keep the urine warm
4. DTo prevent urine flowing back into the bladder

A very anxious patient breathes rapidly for a long period. Which change is expected?

1. AMetabolic acidosis from a low bicarbonate
2. BRespiratory acidosis from a high PaCO₂
3. CRespiratory alkalosis from a low PaCO₂
4. DMetabolic alkalosis from vomiting

For a patient in skin traction on the leg, which is correct?

1. AThe rope is tied to the bed frame to keep it still
2. BThe weights hang freely and do not rest on the bed or floor
3. CThe weights are removed whenever the patient feels uncomfortable
4. DThe weights rest on the floor overnight

A patient starting a DOAC is taught about missed doses. Which statement shows a need for further teaching?

1. A"I will tell other doctors and my dentist I take an anticoagulant."
2. B"I will take it at the same time each day."
3. C"If I forget a dose, I'll take two the next day to catch up."
4. D"I will report any blood in my urine."

A patient has a single hot, swollen, very painful knee and a fever. Why is urgent joint aspiration important?

1. ATo check for rheumatoid arthritis antibodies in the joint fluid
2. BTo prevent osteoporosis
3. CTo rule out septic arthritis, which can rapidly destroy the joint
4. DTo measure the patient's cholesterol