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

ما المقصود بـ«التأرجح» (tidaling) في حجرة الصمام المائي لمفجّر الصدر؟

1. Aفقاعات مستمرة سواء تنفس المريض أم لا
2. Bاهتزاز وحدة التصريف عندما يمشي المريض
3. Cتحرك مستوى السائل صعودًا وهبوطًا مع التنفس
4. Dخثرات دموية تتحرك على طول أنبوب التصريف

How does CPAP help in obstructive sleep apnoea?

1. AIt slows the breathing rate during sleep
2. BConstant positive pressure holds the upper airway open
3. CIt removes carbon dioxide through a filter
4. DIt delivers a drug that relaxes the airway muscles overnight

Which sound is typical of a pleural friction rub?

1. AA creaking, grating sound with each breath
2. BA high-pitched musical sound on expiration
3. CFine bubbling sounds that clear with coughing
4. DA harsh sound on breathing in from the throat

A patient has a prosthetic heart valve. Which teaching best reduces the risk of infective endocarditis?

1. AKeep teeth and gums healthy with regular dental check-ups
2. BAvoid all physical exercise for the rest of their life
3. CTake a daily antibiotic tablet indefinitely
4. DAvoid eating dairy products and raw vegetables

Which skin changes around the ankles are typical of chronic venous insufficiency?

1. AA cold, white foot with no pulse
2. BBrown staining, swelling and dry, itchy skin
3. CA sharply defined red patch with fever
4. DPale, shiny, hairless skin with weak pulses

بحسب الإرشادات الحالية، متى يُعطى الأكسجين لمريض مصاب بمتلازمة تاجية حادة؟

1. Aفقط عندما تتوافر نتيجة التروبونين
2. Bفقط عندما يكون SpO₂ دون المدى المستهدف
3. Cدائمًا بتدفق 15 L/min، مهما كان التشبع
4. Dأبدًا، لأن الأكسجين يضر بعضلة القلب

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. CLow blood glucose from a reduced appetite
4. DAn embolus from a valve vegetation causing a stroke

Three hours after femoral cardiac catheterisation, a patient has new lower back and flank pain, a heart rate of 112/min and BP 92/60 mmHg. The groin looks normal. What should the nurse suspect?

1. ANormal back ache from lying flat
2. BA urinary tract infection
3. CAn allergic reaction to the contrast
4. DRetroperitoneal bleeding