Scheda di esercizi di Fondamenti di infermieristica con soluzioni

In quale tessuto si esegue un'iniezione sottocutanea?

1. AIn un grande muscolo
2. BNello strato più superficiale della pelle
3. CNel tessuto adiposo appena sotto la pelle
4. DIn una vena

In the nursing process, which step comes straight after assessment?

1. ADischarge planning, deciding when the patient goes home
2. BNursing diagnosis, identifying the patient's problems
3. CEvaluation, checking whether goals were met
4. DImplementation, carrying out the care

What is the main effect of applying cold to a new sprain?

1. AThe muscles relax and stretch more easily
2. BBlood vessels widen, bringing more blood to the area
3. CBlood vessels narrow, reducing swelling and pain
4. DThe bones heal more quickly

A catheterised patient has had no urine in the bag for two hours. What should the nurse check first?

1. AThe tubing for kinks or blockage and where the bag is
2. BThe patient's blood glucose level and recent insulin doses
3. CWhether the patient has eaten or drunk anything recently
4. DNothing, as two hours without urine is normal

What makes "Risk for falls" a risk nursing diagnosis rather than an actual one?

1. AThe problem can never be prevented
2. BThe doctor has confirmed the diagnosis with tests and a scan
3. CThe patient has already fallen several times
4. DThe fall has not happened yet, but risk factors are present

Using the AVPU scale, a patient who opens their eyes and groans only when the nurse squeezes their shoulder is scored as:

1. AV
2. BP
3. CA
4. DU

Nello strumento di comunicazione SBAR, che cosa indica la «A»?

1. AAllergie
2. BAmmissione
3. CAzione
4. DAssessment (valutazione)

A patient who had a GCS of 15 this morning now opens their eyes only to voice and is confused. What should the nurse do?

1. ARecord it and recheck at the next routine time
2. BTreat it as deterioration and escalate urgently
3. CLet the patient sleep, as they are probably tired
4. DGive a sedative to calm the confusion