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

ما الأكسجين الأنفي عالي التدفق؟

1. Aأكسجين عبر قناع كامل الوجه محكم الإغلاق موصول بجهاز تنفس صناعي
2. Bأكسجين عبر قناع بكيس خزان بتدفق 15 L/min
3. Cأكسجين جاف عبر شوكتين أنفيتين قياسيتين بتدفق 1–4 L/min
4. Dأكسجين مسخَّن ومرطَّب عبر شوكتين أنفيتين بتدفق يصل إلى نحو 60 L/min

What is Cheyne–Stokes breathing?

1. AConstant deep, fast breathing that never changes in depth
2. BA harsh, high-pitched sound on breathing in through the throat
3. CBreathing only through pursed lips
4. DCycles of deeper then shallower breaths followed by a pause

What is the main function of the epiglottis?

1. AIt warms and moistens the air on its way into the lungs
2. BIt covers the entrance to the larynx during swallowing
3. CIt vibrates to produce the sound of the voice when speaking
4. DIt divides the trachea into two bronchi

A patient stops ramipril because of a troublesome dry cough. Which drug class is a common alternative?

1. AA loop diuretic such as furosemide
2. BA nitrate such as isosorbide mononitrate
3. CA non-selective beta-blocker such as propranolol
4. DAn angiotensin II receptor blocker such as losartan

How does intermittent pneumatic compression help prevent DVT?

1. AIt squeezes the legs in cycles to push venous blood towards the heart
2. BIt breaks up and dissolves clots that have already formed in the veins
3. CIt keeps the legs completely still to protect the veins
4. DIt warms the legs gently so the blood becomes thinner and flows faster

A nurse measures blood pressure on a large upper arm using a cuff that is too small. What effect will this have?

1. AOnly the pulse rate will be affected
2. BThe reading will be accurate but slower
3. CThe reading will be falsely low
4. DThe reading will be falsely high

A patient receiving weeks of IV antibiotics through a PICC line in the left arm develops swelling and aching of that arm and neck veins that look fuller on the left. What should the nurse suspect?

1. ALymphoedema from lying in bed
2. BA local skin allergy to the dressing
3. CA catheter-related deep vein thrombosis
4. DAn expected effect of the antibiotic

A healthcare assistant (unlicensed assistive personnel) reports four observations. Which one needs the nurse's attention first?

1. AA patient with COPD whose SpO₂ is 90% on 1 L/min, which is usual for him
2. BA patient with a DVT whose leg is less swollen today
3. CA patient with heart failure who is newly confused, with SpO₂ 89%
4. DA patient after a PCI asking for a cup of tea