Scheda di esercizi di Fondamenti di infermieristica con soluzioni

Quale di questi è un segno di disidratazione?

1. AUn polso lento e pieno
2. BMucose secche e urine scure
3. CCaviglie gonfie
4. DUrine chiare e frequenti

Which pulse do trained healthcare staff usually check in an unresponsive adult?

1. AThe temporal pulse at the side of the head
2. BThe radial pulse at the wrist
3. CThe pedal pulse on the foot
4. DThe carotid pulse in the neck

Which SpO₂ reading is normal for a healthy adult breathing room air?

1. A90%
2. B88%
3. C84%
4. D97%

Che cosa valuta il Malnutrition Universal Screening Tool (MUST)?

1. ALa capacità di deglutire
2. BIl rischio di cadute
3. CIl rischio di malnutrizione
4. DIl livello di dolore

Which nursing record entry is the best example of objective documentation?

1. A"Seemed to enjoy the meal."
2. B"Ate well, as usual."
3. C"Had a good appetite today and enjoyed lunch."
4. D"Ate half of lunch; drank 200 mL of water."

In which direction should a female patient's perineum be cleaned?

1. AFrom back to front
2. BEither way, as long as soap is used
3. CFrom front to back
4. DIn circles starting at the anus

A healthcare assistant (nursing assistant) has recorded a blood pressure of 82/50 mmHg during routine observations but did not report it. What should the registered nurse do first?

1. ATalk to the healthcare assistant about reporting
2. BAssess the patient straight away
3. CRepeat the observations at the next routine time
4. DComplete an incident report

After treatment for hypoglycaemia a patient's glucose is now 5,2 mmol/L (94 mg/dL) and the next meal is hours away. What should the nurse do next?

1. AGive nothing more, as the glucose is now normal
2. BGive another dose of insulin to balance out the extra sugar
3. CGive a longer-acting carbohydrate, such as a sandwich
4. DGive a second glucose drink every 15 minutes