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

أيّ صوت تنفسي نموذجي لضيق المجاري الهوائية الصغيرة في الربو؟

1. Aصفير، عادةً أعلى أثناء الزفير
2. Bاحتكاك جنبي عند التنفس العميق
3. Cصرير يُسمع أساسًا عند الشهيق
4. Dخراخر خشنة تزول بعد السعال

In hospital, how is oxygen therapy treated?

1. AAs a treatment kept only for patients who are near the end of life
2. BAs a treatment that patients adjust themselves
3. CAs a medicine that needs a prescription with a target range
4. DAs a comfort measure that needs no prescription or monitoring

How should glyceryl trinitrate (nitroglycerin) sublingual tablets be stored?

1. ALoose in a pocket or a plastic pill box for easy access
2. BIn their original container, away from heat and light
3. CIn direct sunlight on the windowsill
4. DIn the fridge, mixed in one bottle with their other tablets

A patient is going home with a 24-hour Holter monitor. Which instruction is most important?

1. ARemove the monitor whenever symptoms occur and restart it
2. BShower as normal with the monitor on
3. CStay in bed for the full 24 hours so the trace is clear
4. DKeep a diary of symptoms and activities with the times

Why must inspired air be humidified for a patient with a tracheostomy?

1. AHumidified air contains more oxygen than dry air at the same flow
2. BHumidification prevents the cuff from deflating
3. CThe nose and upper airway, which warm and moisten air, are bypassed
4. DDry air is needed to stop secretions forming in the trachea

A patient with heart failure takes furosemide once a day. When is the best time to take it?

1. AJust before the evening meal, with a large drink
2. BWhenever the ankles look swollen, on those days only
3. CAt bedtime, so the effect lasts through the night
4. DIn the morning, to avoid needing the toilet at night

A patient being treated for infective endocarditis of the mitral valve suddenly develops slurred speech and weakness of the right arm. What is the most likely cause?

1. AA side effect of the IV antibiotic on the nerves
2. BA migraine aura triggered by the fever
3. CAn embolus from a valve vegetation causing a stroke
4. DLow blood glucose from a reduced appetite

مريض يتعافى من احتشاء عضلة القلب قلق من العودة إلى الحياة الطبيعية. أيّ تدخل يدعم التعافي على أفضل وجه؟

1. Aالنصح بإيقاف الأقراص بمجرد الشعور بالتحسن
2. Bالإحالة إلى التأهيل القلبي
3. Cالنصح بالراحة في السرير ثلاثة أشهر
4. Dالنصح بتجنب كل التمارين بصورة دائمة