Scheda di esercizi di Infermieristica clinica con soluzioni

What is oral mucositis, a common side effect of chemotherapy?

1. APainful inflammation and ulceration of the lining of the mouth
2. BA loss of taste only
3. CSwelling of the salivary glands from dehydration
4. DA fungal infection of the toenails that spreads to the mouth

Which sign is typical of right-sided heart failure?

1. ACrackles in both lungs and pink frothy sputum
2. BA high fever with rigors
3. CSwollen ankles and a raised jugular venous pressure
4. DPinpoint pupils, drowsiness and a slow breathing rate

Why do nurses wear protective gloves and gowns when handling cytotoxic drugs?

1. ATo make the drug work faster
2. BTo stop the patient from seeing the drug
3. CTo keep the drug at the right temperature during use
4. DTo protect themselves from exposure to hazardous drugs

A patient with leukaemia has a very low platelet count. Which nursing precaution is appropriate?

1. AUse a soft toothbrush and an electric razor
2. BGive medicines by intramuscular injection
3. CEncourage contact sports to keep fit
4. DTake temperatures rectally

A patient who injects drugs has a fever, a new heart murmur and small dark lines under the nails. What is the likely diagnosis?

1. AMyocardial infarction
2. BRheumatic fever
3. CInfective endocarditis
4. DPericarditis

Why is oxygen often humidified for a patient with a tracheostomy?

1. ADry oxygen causes high blood glucose
2. BThe tube bypasses the nose, which normally warms and moistens air
3. CHumidity is needed for the oxygen to work as a drug
4. DHumidification lowers the oxygen concentration to a safer level

A patient going home after chemotherapy is taught about infection. Which statement shows a need for further teaching?

1. A"I will check my temperature if I feel unwell or shivery at home."
2. B"I will phone the helpline if I have a fever or shivering."
3. C"If I get a temperature, I'll take paracetamol and wait until my next clinic."
4. D"I will wash my hands well before eating and after using the toilet."

A day after surgery, a patient's haemoglobin has fallen from 125 g/L to 85 g/L (12,5 to 8,5 g/dL) and their heart rate has risen to 118/min. What is the priority?

1. ARecheck the haemoglobin next week
2. BEncourage the patient to eat iron-rich foods
3. CDocument the result and take no further action
4. DEscalate urgently, as the patient may be bleeding