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

What is the approximate tidal volume of a resting adult?

1. AAbout 1,5 litres
2. BAbout 500 mL
3. CAbout 5 litres
4. DAbout 50 mL

يقول مريض مصاب بقصور القلب إنه يحتاج إلى ثلاث وسائد ليتنفس براحة ليلًا. ماذا يسمى هذا العرض؟

1. Aضيق النفس الانتصابي (orthopnoea)
2. Bبطء التنفس
3. Cتسرّع التنفس
4. Dنفث الدم

Which of these is a common allergic trigger of asthma?

1. ADrinking water
2. BEating rice
3. CWearing cotton clothes
4. DHouse dust mite

After an arterial blood gas sample is taken from the radial artery, what should the nurse do?

1. AMassage the site to help the bruising fade
2. BBend the wrist sharply upwards to stop the bleeding
3. CApply firm pressure to the site for several minutes
4. DLeave the site uncovered without pressure

Which investigation is usually used to confirm a deep vein thrombosis in the leg?

1. AAn exercise ECG
2. BCompression duplex ultrasound
3. CA lung function test
4. DA plain chest X-ray and an ECG

Which energy-conservation advice is most useful for a patient with severe COPD?

1. AAvoid any activity at all, staying in a chair to save their energy
2. BHold the breath while lifting heavy objects
3. CDo all the household tasks quickly in the morning to get them done
4. DSit down for tasks such as washing and dressing, and pace activities

The monitor shows a regular broad-complex tachycardia at 180/min. The patient is alert with BP 126/78 mmHg and no chest pain. What is the most appropriate plan?

1. ARecord a 12-lead ECG, call senior help and anticipate an antiarrhythmic
2. BDeliver an unsynchronised shock immediately, before any other assessment
3. CReassure the patient, as this is a normal rhythm
4. DStart chest compressions straight away and give a dose of IV adrenaline

A patient being treated for pulmonary TB repeatedly misses doses and stops when they feel better. Which strategy is most effective?

1. ADirectly observed therapy with support for barriers to adherence
2. BSwitching to a single drug to make it easier
3. CStopping treatment, as it is clearly not working for this patient
4. DDoubling the dose on the days the patient remembers to take it