Scheda di esercizi di Infermieristica clinica con soluzioni

In acute appendicitis, where does the pain classically start and where does it move to?

1. AIt starts in the right upper abdomen and moves up to the centre of the chest
2. BIt starts in the left shoulder and moves to the back
3. CIt starts in the left lower abdomen and stays there
4. DIt starts around the umbilicus and moves to the right lower abdomen

What is the Bristol Stool Chart used for?

1. AScoring the risk of pressure ulcers
2. BClassifying the form and consistency of stools
3. CMeasuring how much food a patient eats each day
4. DRecording the frequency of urination

Which type of diabetes is mainly caused by autoimmune destruction of the insulin-producing beta cells?

1. AType 2 diabetes
2. BDiabetes insipidus
3. CGestational diabetes
4. DType 1 diabetes

A patient has a continuous stream of bubbles in the water seal chamber of their chest drain. What does this most likely indicate?

1. AThe drain is blocked
2. BAn air leak, from the lung or from the drainage system
3. CThe lung has fully re-expanded
4. DThe drain is working normally for a fluid collection only

Compared with a colostomy, a patient with an ileostomy is at greater risk of:

1. AUrinary retention
2. BHard stools, straining and constipation from slow transit
3. CLow blood glucose after meals
4. DDehydration and electrolyte loss from liquid output

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

1. ACalcium, because both drugs lower it
2. BGlucose, because both drugs cause hyperglycaemia
3. CSodium, because both drugs raise it sharply
4. DPotassium, because both drugs can raise it

A patient with a possible neck injury after a fall needs their airway opened. Which manoeuvre is preferred?

1. AHead tilt with chin lift
2. BHyperextending the neck
3. CTurning the head to one side
4. DJaw thrust

Poco dopo l'inizio di una trasfusione, un paziente diventa dispnoico, con sibili, ipoteso e con gonfiore del volto. Che cosa deve fare per prima cosa l'infermiere?

1. AInterrompere la trasfusione, mantenere l'accesso venoso e chiedere aiuto urgente
2. BSomministrare paracetamolo e un antistaminico e proseguire la trasfusione
3. CTerminare in fretta la sacca per ridurre al minimo il tempo di esposizione
4. DRallentare la trasfusione e ricontrollare i parametri dopo un'ora