Scheda di esercizi di Infermieristica clinica con soluzioni

Pupille miotiche a capocchia di spillo, respiro lento e sonnolenza dopo un intervento suggeriscono più probabilmente:

1. ASolo aumento della pressione intracranica
2. BIpoglicemia
3. CDisidratazione
4. DTossicità da oppioidi

Quale segno suggerisce una flebite nella sede di un catetere venoso periferico?

1. ACute pallida e fredda lontano dalla sede
2. BCute normale senza dolore
3. CIl paziente ha sete
4. DArrossamento, dolore e gonfiore lungo la vena

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

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

What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?

1. ATake it with a large glass of milk to protect the stomach lining
2. BSwallow the spray rather than leaving it under the tongue
3. CSit down before using it, as it can cause dizziness and low blood pressure
4. DUse it only after the pain has lasted over an hour, with the patient lying flat

What should a patient starting oral iron tablets be told?

1. ATheir urine will turn bright green
2. BTheir stools may turn dark or black
3. CThe tablets will cause weight loss
4. DThey must take the tablets with strong tea

When should discharge planning usually begin?

1. AAfter the patient has been home for a week
2. BOnly after the patient asks to go home
3. COn the morning of discharge
4. DOn or soon after admission

Un paziente con trauma cranico ha una GCS che scende da 14 a 10 e una pupilla diventa più grande e lenta a reagire. Che cosa deve fare l'infermiere?

1. ASomministrare un sedativo per calmare il paziente
2. BRicontrollare la GCS al prossimo giro di parametri di routine
3. CAllertare immediatamente come emergenza neurologica
4. DIncoraggiare il paziente a dormire

Why might a patient with diabetes who takes a beta-blocker not notice hypoglycaemia early?

1. ABeta-blockers raise blood glucose, so true hypoglycaemia cannot happen at all
2. BBeta-blockers can mask warning signs such as tremor and a fast heart rate
3. CBeta-blockers make the patient sleep through the night
4. DBeta-blockers stop the liver from responding to insulin