Scheda di esercizi di Area medico-chirurgica: neurologica, endocrina e renale con soluzioni

Quale azione va evitata sul braccio con una fistola per emodialisi?

1. AMuovere il braccio in modo normale
2. BLavarlo con acqua e sapone
3. CBracciali per la pressione o prelievi di sangue
4. DPalpare delicatamente la fistola per sentire il fremito

Which symptoms are typical of cystitis (a bladder infection)?

1. AHigh fever, shaking rigors and pain in the loin
2. BBurning on passing urine, frequency and urgency
3. CPainless red urine with clots
4. DSwelling of the ankles and frothy urine

Which symptoms are typical of a prolactinoma in a woman?

1. AMilky nipple discharge and irregular periods
2. BVery dark skin creases and a craving for salt
3. CKidney stones, bone pain and constipation
4. DWeight loss with heat intolerance and a fine tremor

A patient has Cushing's syndrome. Which nursing assessment is especially important?

1. AWatching for weight loss
2. BChecking for low blood pressure
3. CRegular blood glucose checks
4. DMonitoring for a high potassium

Before checking a capillary glucose, why should the patient wash their hands with soap and water?

1. AWashing lowers the glucose in the blood
2. BWashing prevents all infection from the lancet
3. CSoap makes the blood flow faster from the finger
4. DSugar on the skin can give a falsely high reading

Which complication is a particular risk in nephrotic syndrome?

1. ABleeding from low platelets
2. BHypoglycaemia
3. CVenous thrombosis
4. DLow cholesterol

A patient with an external ventricular drain sat up in bed without help. The drain stayed at its old height, and the drainage bag filled quickly. The patient now has a headache. What is the concern?

1. ANo concern, because more drainage always lowers the ICP safely
2. BAn infected drain, so the dressing should be removed
3. CUnderdrainage, so the drain should be lowered further
4. DOverdrainage of CSF, so act per protocol and inform the team

Un paziente in recupero da una necrosi tubulare acuta entra nella fase poliurica, eliminando oltre 4 L di urina al giorno. Qual è la principale preoccupazione infermieristica?

1. ARitenzione di urina in una vescica distesa
2. BSovraccarico di liquidi con livelli elevati di potassio
3. CIpoglicemia causata da eccesso di insulina
4. DDisidratazione con potassio e sodio bassi