Scheda di esercizi di Infermieristica clinica con soluzioni

Which type of pain is typical of a kidney stone?

1. AA burning pain behind the breastbone after meals
2. BA dull ache in both knees
3. CA tight band around the head
4. DSevere, colicky pain from the loin towards the groin

Quale scala del dolore si usa spesso negli adulti in grado di comunicare?

1. AUna scala numerica da 0 a 10
2. BLa scala di Braden per le lesioni da pressione
3. CL'indice di Apgar
4. DLa Glasgow Coma Scale

Un paziente con sospetta tubercolosi polmonare deve essere assistito con:

1. ANessuna precauzione particolare
2. BSolo precauzioni da contatto
3. CPrecauzioni per via aerea in stanza singola
4. DSolo precauzioni standard in una corsia comune

What is the best way to protect the heels of a bed-bound patient from pressure damage?

1. AMassage the heels firmly several times a day to help circulation
2. BApply a tight bandage to the heels
3. CRest the heels on a rolled-up towel
4. DOffload the heels so they do not touch the mattress

A patient with Guillain–Barré syndrome has weakness spreading upwards from the legs. Which monitoring is most important?

1. ABreathing function, such as forced vital capacity
2. BBlood glucose, measured once a day before breakfast
3. CVisual acuity
4. DWeekly weight

During a red cell transfusion, when are serious acute reactions most likely to start?

1. AAbout 24 hours later
2. BAfter the third unit only
3. COnly after the unit has finished
4. DIn the first 15 minutes

A catheterised postoperative patient has passed only 10 mL of urine in the last two hours. What should the nurse check first?

1. AThe patient's weight from last year
2. BWhether the patient has eaten breakfast
3. CThat the catheter and tubing are not kinked or blocked
4. DThe patient's cholesterol level from the admission bloods

Soon after starting chemotherapy for a high-grade lymphoma, a patient has rising potassium, phosphate and uric acid with falling urine output. What is the most likely cause?

1. ASyndrome of inappropriate ADH secretion
2. BRefeeding syndrome
3. CAdrenal insufficiency
4. DTumour lysis syndrome