Užduočių lapas tema Vidaus ligų ir chirurginė slauga: širdies ir kraujagyslių bei kvėpavimo sistemos su atsakymais
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Vardas: ____________________ Data: ____________
1.Lengvas
Which cardiac arrest rhythms are shockable?
AAsystole and pulseless electrical activity with a slow rate
BAtrial fibrillation and atrial flutter
CSinus rhythm and sinus tachycardia with a normal pulse
DVentricular fibrillation and pulseless ventricular tachycardia
2.Lengvas
In hospital, how is oxygen therapy treated?
AAs a comfort measure that needs no prescription or monitoring
BAs a treatment kept only for patients who are near the end of life
CAs a medicine that needs a prescription with a target range
DAs a treatment that patients adjust themselves
3.Lengvas
What is an aneurysm?
AA complete blockage of an artery by plaque
BA tear in the inner lining of a vein
CAn abnormal bulging of a weakened artery wall
DA blood clot in a deep vein
4.Vidutinis
Kuris patarimas padeda išvengti GVT per ilgą skrydį ar po operacijos?
AMažiau gerti, kad nereikėtų eiti į tualetą
BSėdėti sukryžiavus kojas patogumui
CReguliariai mankštinti čiurnas ir gerti pakankamai skysčių
DDėvėti standžias elastines juostas tuoj žemiau kelio
5.Vidutinis
A patient is going home with a 24-hour Holter monitor. Which instruction is most important?
AShower as normal with the monitor on
BRemove the monitor whenever symptoms occur and restart it
CKeep a diary of symptoms and activities with the times
DStay in bed for the full 24 hours so the trace is clear
6.Vidutinis
A patient taking simvastatin drinks a large glass of grapefruit juice every morning. Why is this a concern?
AIt causes the cholesterol level to rise sharply
BIt turns the statin into a blood thinner
CIt stops the statin from being absorbed from the gut at all
DIt raises statin levels and the risk of muscle damage
7.Sunkus
A patient with a COPD exacerbation has been on NIV for two hours. They are now more drowsy, and the pH has fallen further despite a good mask fit. What should the nurse do?
ARemove the mask and give nebulised bronchodilators only from now on
BContinue NIV unchanged and repeat the blood gas tomorrow morning
CGive a sedative to help the patient tolerate the mask
DEscalate urgently for review of intubation or a ceiling of care
8.Sunkus
A nurse receives handover on four patients. Which patient should be seen first?
AA patient with pneumonia on IV antibiotics who now has a temperature of 38,2 °C
BA patient with asthma who wants a reliever inhaler before a walk
CA patient on day 1 after surgery who is newly restless, RR 30/min, SpO₂ 88% on 4 L/min
DA patient with COPD on 1 L/min whose SpO₂ has been 89% and stable throughout the night
Atsakymai
1. D · Ventricular fibrillation and pulseless ventricular tachycardia
2. C · As a medicine that needs a prescription with a target range
3. C · An abnormal bulging of a weakened artery wall
4. C · Reguliariai mankštinti čiurnas ir gerti pakankamai skysčių
5. C · Keep a diary of symptoms and activities with the times
6. D · It raises statin levels and the risk of muscle damage
7. D · Escalate urgently for review of intubation or a ceiling of care
8. C · A patient on day 1 after surgery who is newly restless, RR 30/min, SpO₂ 88% on 4 L/min
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