Scheda di esercizi di Infermieristica clinica con soluzioni

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

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

Osteoporosis mainly increases the risk of:

1. AHigh blood calcium
2. BJoint infections
3. CFractures from minor falls
4. DMuscle cramps at night

Quale segno nella guarigione di una ferita suggerisce un'infezione?

1. ALieve colore rosa e calore ai margini della ferita al giorno 2
2. BLieve prurito mentre la ferita si chiude
3. CArrossamento, calore, gonfiore crescenti e pus
4. DFormazione di una crosta secca

After a laparoscopic cholecystectomy, a patient has pain in the shoulder tip. What is the most likely cause?

1. AA broken collarbone from being moved onto the table
2. BAn allergic reaction to the dressing
3. CGas used during the operation irritating the diaphragm
4. DA heart attack caused by the stress of surgery

Why is an urgent brain scan needed before thrombolysis for a suspected stroke?

1. ATo confirm the patient's age
2. BTo measure the size of the ventricles
3. CTo check for brain tumours only
4. DTo rule out bleeding in the brain

A nurse suspects that an older patient is being financially abused by a relative. What should the nurse do?

1. AWait until the patient has been discharged
2. BRaise the concern through the local safeguarding (adult protection) procedure
3. CKeep it secret because it is a family matter
4. DConfront the relative directly at the bedside about it

An older patient with delirium is trying to leave the ward at night, saying he must go home. What is the best initial approach?

1. ALet him leave, because adults can always do as they wish whatever their state
2. BPhysically restrain him in bed until the morning so that he cannot fall
3. CGive a sedative straight away without a prescription
4. DCalmly reassure and redirect him while the team assesses his capacity and safety

A patient's hypoglycaemia was caused by a sulfonylurea such as gliclazide or glipizide. Why might they need monitoring for longer than usual?

1. AThe drug causes rebound hyperglycaemia later the same day
2. BThe drug makes glucose tablets and drinks ineffective
3. CSulfonylureas only work at night
4. DSulfonylureas act for a long time, so hypoglycaemia can recur