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

What is Kussmaul breathing?

1. AVery slow, shallow breathing from opioids
2. BBreathing that alternates between deep breaths and pauses
3. CDeep, rapid breathing in response to metabolic acidosis
4. DNoisy breathing caused by a blocked upper airway

ما الدور الرئيسي لمضادات التخثر مثل الهيبارين أو الأبيكسابان؟

1. Aإذابة الخثرات الموجودة تمامًا خلال دقائق
2. Bمنع التصاق الصفيحات ببعضها
3. Cمنع تكوّن خثرات جديدة ومنع نمو الخثرات الموجودة
4. Dرفع عدد الصفيحات بعد الجراحة أو النزف

Which procedure relieves cardiac tamponade?

1. ACardioversion
2. BThoracentesis (pleural tap)
3. CBronchoscopy
4. DPericardiocentesis

A patient who had a stroke has a weak swallow. Which measure most reduces the risk of aspiration pneumonia?

1. AGiving meals while the patient is drowsy
2. BGiving thin fluids quickly through a straw between meals
3. CLying flat for 30 minutes after eating to aid digestion
4. DA swallowing assessment and sitting upright for meals

How do clopidogrel and ticagrelor work?

1. AThey directly inhibit thrombin in the plasma
2. BThey block the platelet ADP (P2Y₁₂) receptor
3. CThey inhibit the vitamin K-dependent clotting factors in the liver
4. DThey dissolve fibrin in existing clots

أيّ اختبار مخبري يُستخدم لضبط تسريب الهيبارين غير المجزّأ؟

1. Aمستوى D-dimer
2. Bزمن الثرومبوبلاستين الجزئي المنشَّط (أو مستوى مضاد Xa)
3. CINR (النسبة المعيارية الدولية)
4. Dمستوى الفبرينوجين في المصل

A nurse reviews inhaler use with a patient who has asthma and uses a separate steroid preventer inhaler and a salbutamol reliever. Which statement shows a need for further teaching?

1. A"I use my steroid inhaler every day, even when I feel well."
2. B"I carry my blue reliever inhaler with me."
3. C"I rinse my mouth after the steroid inhaler."
4. D"I use my steroid inhaler when I start to wheeze."

A patient with severe sepsis becomes increasingly breathless over 24 hours. SpO₂ stays low despite high-flow oxygen, and the chest X-ray shows bilateral infiltrates. The heart function is normal. Which condition is most likely?

1. AAcute respiratory distress syndrome
2. BSpontaneous pneumothorax
3. CAcute left ventricular failure after an MI
4. DAn acute asthma attack