Choroby wewnętrzne i chirurgiczne: układ krążenia i oddechowy: karta pracy z odpowiedziami
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Imię: ____________________ Data: ____________
1.Łatwy
Jaki jest zwykły zakres przepływu tlenu przez standardowe wąsy tlenowe (kaniulę nosową) u dorosłych?
A1–6 L/min
B10–15 L/min
C0,1–0,2 L/min
D20–40 L/min
2.Łatwy
Which symptom lasting more than three weeks is a classic warning sign of laryngeal cancer?
AItching of the eyes
BMild sneezing and a runny nose in the morning
CPersistent hoarseness of the voice
DOccasional hiccups
3.Łatwy
Which side effect is particularly linked with spironolactone in men?
ABreast enlargement (gynaecomastia)
BHair loss on the scalp and eyebrows
COrange-red colouring of the urine
DA persistent dry, tickly cough
4.Średni
A patient has pneumonia in the right lung only. In which side-lying position will oxygenation usually be best?
AProne with the head down
BLying on the right side, with the affected lung down
CLying on the left side, with the healthy lung down
DFlat on the back with no pillows
5.Średni
Which exercise advice is recommended for intermittent claudication?
AComplete bed rest until the leg pain has gone for at least a month
BSupervised walking until pain is near maximal, then rest and repeat
CWalking only on days when the legs feel warm and painless
DStopping walking at the very first twinge of pain each time
6.Średni
How do clopidogrel and ticagrelor work?
AThey dissolve fibrin in existing clots
BThey inhibit the vitamin K-dependent clotting factors in the liver
CThey block the platelet ADP (P2Y12) receptor
DThey directly inhibit thrombin in the plasma
7.Trudny
A patient on an unfractionated heparin infusion has a nosebleed that will not stop, and the aPTT is far above the target range. What is the most appropriate action?
AIncrease the infusion, as the aPTT will settle
BGive vitamin K and continue the infusion at a slightly lower rate
CContinue the infusion at the same rate and pack the nose firmly
DStop the infusion, inform the prescriber and anticipate protamine
8.Trudny
During tracheal suctioning, a patient's heart rate drops from 88/min to 48/min. What should the nurse do?
AStop suctioning, give oxygen and monitor the patient
BIncrease the suction pressure to finish faster
CContinue suctioning until the airway is completely clear
DGive a dose of atropine without a prescription
Klucz odpowiedzi
1. A · 1–6 L/min
2. C · Persistent hoarseness of the voice
3. A · Breast enlargement (gynaecomastia)
4. C · Lying on the left side, with the healthy lung down
5. B · Supervised walking until pain is near maximal, then rest and repeat
6. C · They block the platelet ADP (P2Y12) receptor
7. D · Stop the infusion, inform the prescriber and anticipate protamine
8. A · Stop suctioning, give oxygen and monitor the patient
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