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

What is the pleura?

1. AA double membrane lining the lungs and the inner chest wall
2. BThe tiny air sacs at the ends of the airways where gas exchange happens
3. CThe dome-shaped muscle that separates the chest from the abdomen
4. DThe cartilage rings of the trachea

What does the term "hypoxaemia" mean?

1. AA fast breathing rate with normal oxygen
2. BA low level of oxygen in the arterial blood
3. CA high level of carbon dioxide in the blood
4. DA low level of haemoglobin in the blood

Thromboangiitis obliterans (Buerger's disease) is most strongly linked with which factor?

1. ASmoking tobacco
2. BLack of sleep
3. CDrinking coffee
4. DA high-salt diet

How can a patient reduce wound pain when coughing after abdominal surgery?

1. AAvoid coughing completely until all the stitches are removed
2. BLie flat on the back with the legs straight
3. CHold the breath for as long as possible
4. DHold a pillow firmly against the wound while coughing

A patient with an implantable cardioverter-defibrillator asks what to do if it fires. Which teaching is correct?

1. AOne shock and well: contact the device clinic; repeated shocks or unwell: call emergency services
2. BRemove the device battery at home if it fires more than once
3. CDrive straight to hospital alone after any shock so the device can be checked by the team
4. DIgnore any shock at all, because the device is designed to fire every day and needs no follow-up

A patient with a long QT interval develops a polymorphic ventricular tachycardia that twists around the baseline but still has a pulse. Which drug is used first?

1. AIntravenous magnesium sulfate
2. BIntravenous potassium chloride as a bolus
3. CIntravenous adenosine
4. DOral digoxin

A patient with severe asthma develops a stable narrow-complex tachycardia, and IV adenosine is prescribed. What should the nurse do?

1. AGive it orally instead of intravenously
2. BQuestion the prescription, as adenosine can cause bronchospasm
3. CGive it as prescribed, as adenosine is safe in every patient
4. DGive it as a slow infusion over an hour to reduce side effects

مريض يتناول الأبيكسابان بسبب الرجفان الأذيني محجوز لجراحة اختيارية. أيّ عبارة تعكس الممارسة الصحيحة؟

1. Aيُستمر عليه دائمًا حتى صباح العملية
2. Bيُوقف قبل الجراحة بأسبوعين ويُستبدل بالوارفارين
3. Cيُوقف ثم يُعكس بفيتامين K فموي
4. Dيُوقف لمدة محددة، بحسب خطر النزف ووظيفة الكلى