Scheda di esercizi di Infermieristica clinica con soluzioni

Which group of findings suggests fluid overload?

1. ASwollen ankles, breathlessness, lung crackles and weight gain
2. BDry mouth, thirst, dark urine and a rapid weak pulse
3. CLow jugular venous pressure and cool skin
4. DWeight loss, sunken eyes and a dry mouth

Leukaemia is a cancer of:

1. AThe blood-forming cells of the bone marrow
2. BThe lining of the stomach and small bowel
3. CThe thyroid gland
4. DThe skin

Quale reperto è tipico di un'infezione delle vie urinarie?

1. ARonzio nelle orecchie
2. BFeci nere
3. CBruciore alla minzione e pollachiuria
4. DGonfiore di entrambe le caviglie e della parte inferiore delle gambe

A patient is having a 12-lead ECG. Where are the chest electrodes placed?

1. AOn both shoulders and both hips only
2. BIn a straight line down the centre of the sternum from top to bottom
3. CAnywhere on the chest where the skin is clear
4. DIn standard numbered positions across the front and left of the chest

Which adverse effects should be monitored for in a patient receiving IV gentamicin?

1. AHair loss and weight gain
2. BHyperglycaemia and tremor
3. CConstipation and urinary retention
4. DKidney damage and hearing loss

A patient has a fentanyl patch for chronic pain. Which advice is correct?

1. AKeep using the old patch with the new one
2. BAvoid heat sources such as hot water bottles over the patch
3. CCut the patch in half if the pain improves, to lower the dose
4. DApply the patch to broken skin for faster effect

Un paziente in terapia anticoagulante cade e batte la testa ma sembra stare bene. Qual è l'azione corretta?

1. ARichiedere una valutazione medica e probabilmente una TC, con monitoraggio neurologico
2. BSomministrare una dose aggiuntiva di anticoagulante
3. CNessuna azione, perché il paziente sembra stare bene
4. DIncoraggiare il paziente a dormire senza monitoraggio

The fluid in an underwater seal chest drain has stopped swinging with breathing. What could this mean?

1. AThe patient's breathing has become normal and the drain can be pulled out by the nurse
2. BThe water seal has been set up correctly for the first time
3. CThe tube may be kinked or blocked, or the lung may have fully re-expanded
4. DThe drain is working perfectly and needs no checks