Scheda di esercizi di Fondamenti di infermieristica con soluzioni

What does a healthy stoma usually look like?

1. ADry and covered in a crust
2. BMoist and pink to red
3. CDry and pale white
4. DDark purple or black

When using a fire extinguisher with the PASS method, where should it be aimed?

1. AAt the base of the fire
2. BAt the wall behind the fire
3. CAt the top of the flames
4. DAt the smoke above the fire

Quali segni sono tipici dell'ipoglicemia?

1. ASudorazione, tremori e confusione
2. BCute secca e calda e respiro lento
3. CAumento di peso e caviglie gonfie
4. DSete e minzione abbondante

What does the Visual Infusion Phlebitis (VIP) score assess?

1. AThe speed of an infusion pump
2. BThe patient's eyesight before surgery
3. CThe cannula site for signs of phlebitis
4. DThe risk of an allergic reaction to IV drugs

A patient tells the nurse about abuse and asks them to keep it a secret. What should the nurse say?

1. AThat they cannot listen to this and the patient should tell a doctor
2. BThat they will tell everyone on the ward so the patient is safe
3. CThat they cannot promise secrecy if someone is at risk of harm
4. DThat they promise to keep it secret, so the patient keeps trusting them

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

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

On the sacrum there is a shallow open area with a pink wound bed and no slough. How is this pressure ulcer classified?

1. ACategory 4
2. BCategory 3
3. CCategory 2
4. DCategory 1

A patient with severe anaemia has an SpO₂ of 98%. Why can this reading be misleading?

1. AAnaemia damages the light sensor of the oximeter
2. BThe red cells present are saturated, but the blood carries little oxygen
3. CAnaemia makes the oximeter read about 10% higher than the true saturation
4. DPatients with anaemia always have a low true saturation