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

ما أفضل وقت لوزن مريض مصاب بقصور القلب كل يوم؟

1. Aكل صباح بعد التبول وقبل الفطور وعلى الميزان نفسه
2. Bمرة في الأسبوع، على أيّ ميزان في القسم يكون متاحًا ذلك اليوم
3. Cكلما أبلغ المريض عن زيادة ضيق النفس
4. Dكل مساء بعد الوجبة الرئيسية وبملابس النهار نفسها

متى يُفضّل جمع عينة البلغم للزرع في حال الاشتباه بالتهاب رئوي؟

1. Aفي أي وقت، لأن المضادات الحيوية لا تؤثر في الزروع
2. Bفقط إذا لم يحدث تحسن بعد أسبوع
3. Cقبل أول جرعة من المضاد الحيوي، دون تأخيرها
4. Dبعد ثلاثة أيام من العلاج بالمضاد الحيوي

Which valve lies between the left atrium and the left ventricle?

1. AThe aortic valve
2. BThe tricuspid valve
3. CThe pulmonary valve
4. DThe mitral valve

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

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

A patient takes both digoxin and furosemide. Why does the nurse watch the potassium level closely?

1. ALow potassium increases the risk of digoxin toxicity
2. BHigh potassium is the main effect of furosemide
3. CPotassium has no link with either medicine
4. DLow potassium makes digoxin stop working completely

Why should a long-acting beta-2 agonist (LABA) never be used alone in asthma?

1. AWithout an inhaled steroid, it is linked with severe and fatal attacks
2. BIt works only when it is taken together with a course of antibiotics
3. CIt cannot be inhaled without a nebuliser
4. DIt always causes immediate severe bronchospasm when used on its own

A patient with end-stage COPD has severe breathlessness at rest despite optimal treatment and wants comfort-focused care. Which measure is recognised to help?

1. AA low-dose opioid with a hand-held fan and calm positioning
2. BEncouraging long walks to build fitness
3. CHigh-flow oxygen at 15 L/min whatever the oxygen saturation is
4. DStopping all medicines, including inhalers

Which instruction from the registered nurse to a healthcare assistant (unlicensed assistive personnel) caring for a patient with COPD is most appropriate?

1. A"Turn his oxygen up to whatever he needs if he looks short of breath."
2. B"Listen to his chest after lunch and let me know what you can hear."
3. C"Teach him how to use his new inhaler this afternoon after his rest."
4. D"Tell me straight away if his SpO₂ is under 88% or he is more breathless."