ورقة عمل التمريض الباطني الجراحي: القلب والأوعية والجهاز التنفسي مع الإجابات

Which definition best describes heart failure?

1. AThe heart cannot pump enough blood to meet the body's needs
2. BA coronary artery is suddenly blocked by a clot
3. CThe heart has completely stopped beating and there is no pulse
4. DThe heart beats faster than 150 beats per minute for over an hour

Where is the apex beat normally felt in an adult?

1. AThe second intercostal space to the right of the sternum
2. BJust below the right nipple
3. CThe fifth intercostal space in the left mid-clavicular line
4. DOver the middle of the breastbone

What is the classic clinical definition of chronic bronchitis?

1. AA single episode of coughing up blood after a chest infection
2. BWheeze and chest tightness that occur only during exercise
3. CA cough with sputum most days for 3 months in 2 years running
4. DA dry cough lasting about one week after a common cold

A patient on home oxygen has dry, sore lips. Which product is safest to use?

1. AA water-based lubricant
2. BAn alcohol-based gel
3. CPetroleum jelly
4. DAn oil-based balm

Before the first treatment dose of a low-molecular-weight heparin for a PE, what does the nurse need to make sure of?

1. AAn accurate, recent body weight is recorded
2. BThe patient's blood glucose is above 10 mmol/L (180 mg/dL)
3. CThe patient has fasted for 12 hours
4. DA chest drain is in place

A patient with heart failure is comfortable at rest but becomes breathless walking across a room. Which NYHA class fits best?

1. AClass II
2. BClass IV
3. CClass III
4. DClass I

مريض مصاب بقصور القلب على تقييد سوائل 1,5 L/يوم يشكو عطشًا شديدًا. أيّ إجراء هو الأنسب؟

1. Aوجبات خفيفة مالحة لتحفيز اللعاب وتخفيف الجفاف
2. Bلا سوائل إطلاقًا حتى وزن صباح اليوم التالي
3. Cالعناية بالفم وقطع ثلج محسوبة وتوزيع السوائل على مدار اليوم
4. Dماء غير محدود لأن العطش يجب إرواؤه دائمًا

On day 2 after a surgical tracheostomy, the tube falls out. The patient is breathing but distressed. What should the nurse do first?

1. ACover the stoma completely with a sealed dressing and wait for help
2. BForce the tube back through the stoma immediately with firm pressure
3. CCall for expert help and give oxygen to both the face and the stoma
4. DLeave the patient alone while fetching a new tube