정답이 있는 내외과: 심혈관계와 호흡기계 학습지

심방세동에서 간호사는 맥박 결손을 어떻게 확인합니까?

1. A맥박 산소포화도계 화면에서 심박수를 읽는다
2. B두 사람이 심첨 맥박과 요골 맥박을 동시에 1분간 센다
3. C한 사람이 양쪽 경동맥을 동시에 짚는다
4. D한 사람이 요골 맥박을 15초간 세어 4를 곱한다

Which pain description is typical of an acute aortic dissection?

1. ACramping calf pain that eases with a short rest
2. BBurning pain after meals that eases with antacids
3. CSudden, severe tearing pain that spreads to the back
4. DDull ache that slowly builds over several days

Which side effect of ethambutol should patients report straight away?

1. AA painful, red and swollen big toe joint
2. BNumbness and tingling of the feet and hands
3. COrange-red colouring of the urine and tears
4. DBlurred vision or changes in colour vision

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

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

A woman with hypertension who takes lisinopril says she is planning a pregnancy. What should the nurse advise?

1. ADouble the dose to protect the baby from high blood pressure
2. BStop all blood pressure treatment straight away without telling anyone
3. CDiscuss switching medicine with the prescriber before trying to conceive
4. DContinue lisinopril, as it is the safest blood pressure drug in pregnancy

Which energy-conservation advice is most useful for a patient with severe COPD?

1. AAvoid any activity at all, staying in a chair to save their energy
2. BDo all the household tasks quickly in the morning to get them done
3. CSit down for tasks such as washing and dressing, and pace activities
4. DHold the breath while lifting heavy objects

A patient being treated for infective endocarditis of the mitral valve suddenly develops slurred speech and weakness of the right arm. What is the most likely cause?

1. ALow blood glucose from a reduced appetite
2. BAn embolus from a valve vegetation causing a stroke
3. CA side effect of the IV antibiotic on the nerves
4. DA migraine aura triggered by the fever

The monitor shows a regular broad-complex tachycardia at 180/min. The patient is alert with BP 126/78 mmHg and no chest pain. What is the most appropriate plan?

1. AReassure the patient, as this is a normal rhythm
2. BStart chest compressions straight away and give a dose of IV adrenaline
3. CRecord a 12-lead ECG, call senior help and anticipate an antiarrhythmic
4. DDeliver an unsynchronised shock immediately, before any other assessment