Терапия и хирургия: сердечно-сосудистая и дыхательная системы: лист заданий с ответами

What is the usual SpO₂ of a healthy adult at rest breathing room air?

1. AAbout 60–65%
2. BAbout 95–100%
3. CAbout 70–75%
4. DAbout 80–85%

Which group of symptoms suggests obstructive sleep apnoea?

1. ANight sweats, weight loss and a cough lasting several weeks
2. BLoud snoring, pauses in breathing and daytime sleepiness
3. CWheeze, cough and itchy eyes that come on after exercise
4. DFever, cough and rust-coloured sputum

In which situation can a pulse oximeter show a falsely normal reading?

1. ABreathing room air
2. BA warm hand at rest
3. CCarbon monoxide poisoning
4. DA regular pulse of 80/min

A patient with stable angina is afraid nicotine patches will harm their heart. Which reply is most accurate?

1. ANicotine patches are much more harmful to the heart than cigarettes
2. BNicotine replacement is much safer than smoking and is recommended
3. CNicotine replacement only works if smoking continues
4. DPeople with angina must stop smoking without any help

Пациенту начинают давать варфарин по поводу тромбоза глубоких вен. Почему в первые несколько дней дополнительно вводят гепарин или НМГ?

1. AОба препарата всегда нужно продолжать вместе пожизненно
2. BВарфарину нужно несколько дней, чтобы достичь полного эффекта
3. CГепарин улучшает всасывание варфарина
4. DГепарин защищает от кровотечения из-за варфарина

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

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

A patient with both COPD and heart disease is more breathless, with bilateral basal crackles, raised JVP, ankle swelling and a markedly raised NT-proBNP. Which problem is most likely driving this episode?

1. ADecompensated heart failure
2. BA primary spontaneous pneumothorax
3. CAn asthma attack
4. DHyperventilation from anxiety

Which task for a stable patient with heart failure can the registered nurse most appropriately delegate to a healthcare assistant (unlicensed assistive personnel)?

1. AMeasuring and recording the morning weight
2. BAssessing lung sounds for new crackles
3. CTeaching the patient about a low-salt diet
4. DDeciding whether to give the furosemide dose