Scheda di esercizi di Infermieristica clinica con soluzioni

What is the usual normal range for serum potassium in adults (in mmol/L, numerically equal to mEq/L)?

1. AAbout 6,5–8,0 mmol/L
2. BAbout 135–145 mmol/L
3. CAbout 1,5–2,5 mmol/L
4. DAbout 3,5–5,0 mmol/L

Quale segno suggerisce disidratazione in un adulto?

1. ABocca secca, urine scure e concentrate e tachicardia
2. BAumento di peso in due giorni
3. CCaviglie gonfie, crepitii polmonari e pressione venosa giugulare aumentata
4. DBocca umida, urine chiare e polso normale

Which heart rhythm needs immediate defibrillation in a patient in cardiac arrest?

1. ASinus bradycardia
2. BVentricular fibrillation
3. CFirst-degree heart block
4. DAsystole

A patient is receiving enteral feeding through a nasogastric tube. How should they be positioned during feeding?

1. AIn any position, as long as the feed runs slowly
2. BLying on the left side with the head down to help the feed drain
3. CLying completely flat
4. DWith the head of the bed raised to at least 30 degrees

A patient with Guillain–Barré syndrome has weakness spreading upwards from the legs. Which monitoring is most important?

1. AWeekly weight
2. BVisual acuity
3. CBlood glucose, measured once a day before breakfast
4. DBreathing function, such as forced vital capacity

What is the recommended first aid for a thermal burn?

1. ASpread butter or oil over the burn
2. BCool it under cool running water for about 20 minutes
3. CBurst any blisters to release the fluid
4. DApply ice directly to the burn until the pain stops completely

A patient with lung cancer develops swelling of the face and arms, distended neck veins and breathlessness that is worse lying down. What should be suspected?

1. ARight-sided heart failure from valve disease
2. BSuperior vena cava obstruction
3. CAn allergic reaction to food
4. DHypothyroidism

A patient two days after abdominal surgery coughs and says something "gave way". The wound has opened and bowel is visible. What should the nurse do first?

1. ASit the patient fully upright and offer a hot drink
2. BCover the wound with sterile, saline-moistened dressings and get urgent surgical help
3. CGently push the bowel back into the abdomen and tape the wound edges firmly closed
4. DApply dry gauze tightly and ask the patient to keep coughing