Scheda di esercizi di Infermieristica clinica con soluzioni

Qual è la frequenza respiratoria normale a riposo in un adulto?

1. ACirca 25–35 atti al minuto
2. BCirca 12–20 atti al minuto
3. CCirca 4–8 atti al minuto
4. DCirca 40–50 atti al minuto

Perché un paziente che ha avuto un ictus deve eseguire uno screening della deglutizione prima di assumere per bocca cibo, liquidi o farmaci?

1. APer controllare la glicemia
2. BPer prevenire le lesioni da pressione
3. CPer ridurre il rischio di aspirazione
4. DPer misurare la pressione arteriosa

La posizione di un sondino nasogastrico si conferma comunemente al letto del paziente:

1. AAuscultando l'aria con lo stetoscopio («whoosh test»)
2. BImmergendo l'estremità del sondino in un bicchiere d'acqua
3. CChiedendo al paziente di tossire
4. DMisurando il pH del liquido aspirato

Why are patients with atrial fibrillation often given anticoagulants?

1. ATo convert the rhythm back to normal
2. BTo reduce the risk of stroke from clots in the atria
3. CTo slow the heart rate directly and prevent palpitations
4. DTo lower the blood pressure

A patient is started on spironolactone while already taking an ACE inhibitor. Which blood result should be watched most closely?

1. APotassium, because both drugs can raise it
2. BCalcium, because both drugs lower it
3. CSodium, because both drugs raise it sharply
4. DGlucose, because both drugs cause hyperglycaemia

A patient is receiving IV fluids for several days. Which monitoring is essential?

1. AMonthly HbA1c
2. BWeekly temperature and a single blood glucose reading
3. CFluid balance, regular weights and urea, creatinine and electrolytes
4. DPeak flow readings

A patient is admitted with suspected meningococcal disease. Which infection control measure is usually needed?

1. AIsolation only after the patient has gone home
2. BDroplet precautions until 24 hours of effective antibiotics have been given
3. CNo precautions, because it is not contagious
4. DAirborne precautions with a negative-pressure room for the whole hospital stay

A patient has sudden, severe "tearing" chest pain going through to the back and a large difference in blood pressure between the arms. What should be suspected?

1. APericarditis
2. BStable angina
3. CAortic dissection
4. DGastro-oesophageal reflux