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

What is cor pulmonale?

1. ARight-sided heart failure caused by lung disease
2. BInfection of the heart valves
3. CLeft-sided heart failure caused by a heart attack
4. DInflammation of the lining around the heart

What is haemoptysis?

1. ABlood in the urine
2. BCoughing up blood from the lungs or airways
3. CVomiting blood that comes from the stomach
4. DBleeding from the nose that runs into the throat

Which three signs make up Beck's triad in cardiac tamponade?

1. AHigh blood pressure, a slow pulse and irregular breathing
2. BFever, a new heart murmur and splinter haemorrhages under the nails
3. CChest pain, ST elevation and raised troponin
4. DLow blood pressure, distended neck veins and muffled heart sounds

After a prescribed IV fluid bolus for hypotension, what should the nurse do next?

1. AStop all monitoring if the patient says they feel better
2. BReassess heart rate, blood pressure, urine output and lung sounds
3. CWait until the next routine observations in four hours
4. DStart a second fluid bolus straight away without checking anything

تفقع حجرة الصمام المائي لمفجّر الصدر باستمرار حتى عندما لا يسعل المريض. ماذا يوحي ذلك؟

1. Aالمفجّر مسدود بخثرة في الأنبوب
2. Bتسرّب هواء من الرئة أو من نظام التصريف
3. Cأُطفئ مصدر الشفط
4. Dعادت الرئة إلى التمدد الكامل والمفجّر جاهز للإزالة

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. CStopping walking at the very first twinge of pain each time
4. DWalking only on days when the legs feel warm and painless

A nurse looked after a patient for a shift before smear-positive pulmonary TB was diagnosed, without wearing a respirator. What should happen?

1. AReport it so occupational health can arrange follow-up screening
2. BTake no action, as healthcare workers are immune to TB
3. CStart a full six-month course of TB drugs at once without any tests
4. DStay off work for six months in case symptoms develop

Four hours after cardiac surgery, the mediastinal drain, which had been draining steadily, suddenly stops. BP falls to 84/60 mmHg, the heart rate rises and the CVP climbs. What should the nurse suspect?

1. ANormal recovery, as the bleeding has stopped
2. BFluid overload from intravenous fluids
3. CCardiac tamponade from a clotted drain
4. DA tension pneumothorax on the left side