Užduočių lapas tema Vidaus ligų ir chirurginė slauga: širdies ir kraujagyslių bei kvėpavimo sistemos su atsakymais

What is the classic clinical definition of chronic bronchitis?

1. AWheeze and chest tightness that occur only during exercise
2. BA dry cough lasting about one week after a common cold
3. CA cough with sputum most days for 3 months in 2 years running
4. DA single episode of coughing up blood after a chest infection

Which chest X-ray finding is classic for sarcoidosis?

1. AEnlarged lymph nodes at both lung hila
2. BA visible edge of collapsed lung
3. CA single round mass in one apex
4. DA completely white lung on one side

What is the "calf muscle pump"?

1. AA device that inflates around the calf during surgery to warm the leg
2. BThe artery that supplies oxygenated blood to the muscles of the calf
3. CCalf muscles squeezing the deep veins to push blood towards the heart
4. DA heart valve that pumps blood into the legs

The telemetry monitor suddenly shows a chaotic waveform resembling ventricular fibrillation, but the patient is talking and brushing their teeth. What should the nurse do first?

1. ACheck the patient and the electrodes, as this is likely artefact
2. BDeliver an immediate defibrillation shock before checking anything
3. CGive IV amiodarone as a bolus
4. DStart chest compressions straight away and call the arrest team

How should a patient with asthma record their peak flow at home?

1. ATake one gentle blow once a week, at any time of day
2. BTake the average of ten blows after exercise
3. CTake the best of three blows, ideally morning and evening
4. DBlow only during an asthma attack, never when well

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

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

Pacientas, sergantis LOPL, dūsta, SpO₂ 84 % kvėpuojant kambario oru. Kraujo dujų tyrime pH 7,30 ir padidėjęs PaCO₂, nepaisant optimalaus medikamentinio gydymo. Koks gydymas greičiausiai bus svarstomas?

1. APurškiamų bronchus plečiančių vaistų nutraukimas
2. BDidelės koncentracijos deguonis per kaukę be pakartotinio kvėpavimo
3. CSedacija į veną kvėpavimo dažniui sulėtinti
4. DNeinvazinė ventiliacija (NIV)

A hypotensive patient has a temperature of 39,2 °C, warm flushed skin, a bounding pulse and a fast heart rate. Which type of shock is most likely?

1. AObstructive shock from tamponade
2. BHypovolaemic shock from bleeding
3. CCardiogenic shock
4. DEarly septic (distributive) shock