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

Which isolation precautions are used for a patient with suspected meningococcal meningitis?

1. AAirborne precautions in a negative pressure room for 2 weeks
2. BDroplet precautions until about 24 hours of effective antibiotics
3. CContact precautions only, with gloves for skin contact
4. DNo extra precautions, because it is not infectious

The nurse asks a patient to shrug their shoulders against resistance. Which cranial nerve is being tested?

1. AFacial nerve (VII)
2. BTrigeminal nerve (V)
3. CHypoglossal nerve (XII)
4. DAccessory nerve (XI)

Where is a transplanted kidney usually placed?

1. AIn the chest, next to the heart
2. BIn the original kidney position at the back
3. CIn the lower abdomen, in the iliac fossa
4. DJust under the skin of the arm

A patient is due a rapid-acting insulin dose before lunch, but the meal trays are delayed. What should the nurse do?

1. AOmit the dose entirely for the rest of the day
2. BGive the insulin with a glass of water instead
3. CWait to give the insulin until the meal arrives
4. DGive the insulin now and the meal when it comes

Una settimana dopo un intervento alla tiroide, la voce di un paziente è ancora rauca e debole. Quale complicanza è più probabile?

1. AUna reazione allergica al cerotto della medicazione
2. BCalcio basso da lesione delle paratiroidi
3. CDanno a un nervo laringeo ricorrente
4. DUna tempesta tiroidea causata dall'intervento

A patient takes an SGLT2 inhibitor. Which sick-day advice is correct?

1. AKeep taking it as normal, whatever the illness
2. BPause the drug during illness with vomiting or poor intake
3. CStop drinking fluids while taking the drug
4. DDouble the dose during illness to control the glucose

Alle 03:00 la glicemia di un paziente è 3,6 mmol/L, ma prima di colazione è alta. Prende un'insulina ad azione prolungata la sera. Che cosa deve fare l'infermiere?

1. ASospendere tutta l'insulina in modo permanente e monitorare la glicemia ogni quattro ore
2. BSomministrare insulina extra alle 03:00 perché il valore del mattino sarà alto
3. CIgnorare il valore notturno e agire solo sul valore del mattino
4. DTrattare la glicemia bassa e segnalare l'andamento perché venga rivista la dose serale

Near the end of a haemodialysis session, a patient has painful leg cramps and a falling blood pressure. What is the most likely cause?

1. AFluid is being removed too quickly
2. BNot enough fluid is being removed
3. CAn allergic reaction to the needles
4. DThe dialysate is too cold