Scheda di esercizi di Infermieristica clinica con soluzioni

La Glasgow Coma Scale (GCS) valuta:

1. AL'apertura degli occhi, la risposta verbale e la risposta motoria
2. BIl diametro e la reazione pupillare, la pressione arteriosa e il polso
3. CIl dolore, la nausea e l'ansia
4. DI riflessi, il tono muscolare e la sensibilità

Why must patients and visitors never smoke or use naked flames near oxygen therapy?

1. ASmoke blocks the oxygen tubing and stops the flow
2. BOxygen makes things burn much more easily and fiercely
3. COxygen turns cigarette smoke into a poisonous gas
4. DFlames make the oxygen less effective

What is a PEG tube?

1. AA tube placed in the chest to drain air
2. BA feeding tube placed through the abdominal wall into the stomach
3. CA tube placed through the skin into the bladder to drain urine
4. DA tube passed through the nose and down into the stomach

A patient on the ward has shingles with open blisters. Which people are most at risk from contact?

1. ANo one, because shingles cannot spread
2. BOnly people over 80 who have already had shingles themselves
3. CPeople who have already had chickenpox in childhood and are now healthy
4. DPregnant women and immunocompromised people who have not had chickenpox

Which examination findings suggest a large pleural effusion on one side?

1. ANormal breath sounds and normal percussion
2. BDull percussion and reduced breath sounds over the lung base
3. CWheeze heard over both lungs
4. DA hyper-resonant chest with the trachea pulled towards that side

Why is an ankle–brachial pressure index (ABPI) measured before applying compression bandages to a leg ulcer?

1. ATo measure how deep the ulcer is and how much exudate it produces
2. BTo exclude significant arterial disease, as compression could cut off blood flow
3. CTo check for a urinary tract infection that could delay ulcer healing
4. DTo work out the patient's fluid needs

Why are early surgery and early mobilisation recommended for older patients with a hip fracture?

1. AThey reduce complications such as pneumonia, pressure ulcers and delirium
2. BThey make physiotherapy and rehabilitation unnecessary after discharge
3. CThey mainly reduce the cost of the operation
4. DThey allow the bone to heal fully without any need for pain relief

A patient is recognised by the team as being in the last days of life. Which approach is correct?

1. AReview and stop treatments that no longer help, and focus on comfort
2. BAvoid talking with the family about what is happening
3. CStop all medicines, including pain relief and anti-sickness drugs
4. DContinue all routine blood tests and observations four-hourly