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

ما مدى تدفق الأكسجين المعتاد عبر القنية الأنفية القياسية لدى البالغين؟

1. A1–6 L/min
2. B10–15 L/min
3. C0,1–0,2 L/min
4. D20–40 L/min

Which symptom lasting more than three weeks is a classic warning sign of laryngeal cancer?

1. AItching of the eyes
2. BMild sneezing and a runny nose in the morning
3. CPersistent hoarseness of the voice
4. DOccasional hiccups

Which side effect is particularly linked with spironolactone in men?

1. ABreast enlargement (gynaecomastia)
2. BHair loss on the scalp and eyebrows
3. COrange-red colouring of the urine
4. DA persistent dry, tickly cough

A patient has pneumonia in the right lung only. In which side-lying position will oxygenation usually be best?

1. AProne with the head down
2. BLying on the right side, with the affected lung down
3. CLying on the left side, with the healthy lung down
4. DFlat on the back with no pillows

Which exercise advice is recommended for intermittent claudication?

1. AComplete bed rest until the leg pain has gone for at least a month
2. BSupervised walking until pain is near maximal, then rest and repeat
3. CWalking only on days when the legs feel warm and painless
4. DStopping walking at the very first twinge of pain each time

How do clopidogrel and ticagrelor work?

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

A patient on an unfractionated heparin infusion has a nosebleed that will not stop, and the aPTT is far above the target range. What is the most appropriate action?

1. AIncrease the infusion, as the aPTT will settle
2. BGive vitamin K and continue the infusion at a slightly lower rate
3. CContinue the infusion at the same rate and pack the nose firmly
4. DStop the infusion, inform the prescriber and anticipate protamine

During tracheal suctioning, a patient's heart rate drops from 88/min to 48/min. What should the nurse do?

1. AStop suctioning, give oxygen and monitor the patient
2. BIncrease the suction pressure to finish faster
3. CContinue suctioning until the airway is completely clear
4. DGive a dose of atropine without a prescription