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

Which procedure relieves cardiac tamponade?

1. ACardioversion
2. BPericardiocentesis
3. CThoracentesis (pleural tap)
4. DBronchoscopy

كيف ينبغي للممرضة أن تفحص عجز النبض (pulse deficit) في الرجفان الأذيني؟

1. Aيُقرأ معدل القلب من شاشة مقياس التأكسج النبضي
2. Bيجسّ شخص واحد النبضين السباتيين في الوقت نفسه
3. Cيعدّ شخص واحد النبض الكعبري لمدة 15 ثانية ويضربه في أربعة
4. Dيعدّ شخصان النبض القمي والكعبري معًا لمدة دقيقة

Which chamber of the heart receives blood from the superior and inferior venae cavae?

1. AThe right ventricle
2. BThe left ventricle
3. CThe right atrium
4. DThe left atrium

A patient who had a leg amputation says they feel burning pain in the missing foot. What is the best response?

1. AExplain that phantom limb pain is real and arrange treatment
2. BExplain that burning pain in the missing foot shows wound infection
3. CTell the patient the pain must be imaginary as the foot has gone
4. DAdvise that it will be ignored until it stops

Why is a raised serum lactate concerning in a patient with shock?

1. AIt means the kidneys are working harder than normal to clear fluid
2. BIt confirms a bacterial infection is present
3. CIt suggests tissues are short of oxygen and using anaerobic metabolism
4. DIt shows only that the patient has eaten a large meal in the past hour

A patient with bronchiectasis of the right lower lobe is taught postural drainage. How should they be positioned?

1. ASitting fully upright at all times
2. BWith the affected lobe lowest so it fills with mucus
3. CFlat on the back with the arms raised
4. DWith the affected lobe uppermost so gravity drains it

A patient has sudden severe chest pain spreading to the back between the shoulder blades. Which finding most supports aortic dissection rather than myocardial infarction?

1. ASweating, nausea and pallor that started with the pain
2. BA large difference in blood pressure between the arms
3. CA heart rate of 104/min and a respiratory rate of 22/min
4. DPain that started at rest

A one-way speaking valve is fitted to a patient's tracheostomy tube while the cuff is still inflated. What is the danger?

1. AThe patient cannot breathe out and may suffocate
2. BThere is no danger, as the valve works with any cuff
3. CThe valve will humidify the air too much
4. DThe patient will speak too loudly