Scheda di esercizi di Infermieristica clinica con soluzioni

The term "hemiplegia" means:

1. AWeakness of the facial muscles only
2. BParalysis of one side of the body
3. CParalysis of all four limbs
4. DParalysis of both legs

Un'area arrossata di cute integra sul sacro che non sbianca alla pressione è classificata come quale categoria di lesione da pressione?

1. ACategoria 3
2. BCategoria 2
3. CCategoria 4
4. DCategoria 1

Stridor, a harsh noise heard mainly on breathing in, is a sign of:

1. AFluid collecting in the bases of both lungs
2. BNormal breathing during sleep
3. CNarrowing or obstruction of the upper airway
4. DMild constipation

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

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

Why does a patient with a suspected TIA need urgent specialist assessment?

1. AThe risk of a full stroke is highest in the days after a TIA
2. BThe symptoms will come back permanently within an hour
3. CThe patient needs urgent surgery on the brain
4. DA TIA always turns into a brain tumour unless it is treated

A patient with pneumonia is breathless and coughing up thick sputum. Which nursing measure helps most with breathing?

1. ARestricting all oral fluids
2. BDiscouraging coughing to save energy
3. CLying the patient flat so that they can rest and conserve energy
4. DSitting the patient upright and supporting them to clear secretions

Which patient should the nurse assess first?

1. AA patient with diabetes whose glucose is 11 mmol/L (198 mg/dL) before lunch
2. BA patient with COPD whose SpO₂ is 89% and within their target range
3. CA postoperative patient who rates their pain as 6/10
4. DA patient with asthma who can only speak in single words

Un paziente con asma grave diventa silenzioso, con «torace silente», esaurimento e frequenza respiratoria in calo. Che cosa indica?

1. AAsma pericoloso per la vita con imminente arresto respiratorio
2. BUn miglioramento dell'attacco man mano che il broncospasmo si risolve e le vie aeree si rilassano
3. CUna normale ripresa dopo un aerosol
4. DSolo ansia