Робочий аркуш «Медсестринство в терапії та хірургії: серцево-судинна та дихальна системи» з відповідями

What is the normal resting respiratory rate for an adult?

1. A6–10 breaths per minute
2. B30–40 breaths per minute
3. C12–20 breaths per minute
4. D24–30 breaths per minute

What is pitting oedema?

1. ASwelling that keeps a dent for a while after firm pressure
2. BA small sore that forms on the shin
3. CRedness of the skin that turns white when it is pressed
4. DSwelling that is hard and does not dent at all when pressed

Як медсестра має перевірити дефіцит пульсу при фібриляції передсердь?

1. AЧастоту серцевих скорочень читають з дисплея пульсоксиметра
2. BДві особи одночасно рахують апікальний і променевий пульс протягом однієї хвилини
3. CОдна особа одночасно пальпує обидві сонні артерії
4. DОдна особа рахує променевий пульс 15 секунд і множить на чотири

A patient who had a leg amputation says they feel burning pain in the missing foot. What is the best response?

1. ATell the patient the pain must be imaginary as the foot has gone
2. BExplain that burning pain in the missing foot shows wound infection
3. CExplain that phantom limb pain is real and arrange treatment
4. DAdvise that it will be ignored until it stops

A patient taking isosorbide mononitrate asks about sildenafil for erectile dysfunction. What is the main danger?

1. ABleeding from the gums
2. BA very high potassium level
3. CSevere hypotension
4. DSevere hypertension

A patient choosing between a mechanical and a biological heart valve asks about the main difference. Which answer is accurate?

1. ABiological valves last longer but need lifelong warfarin
2. BMechanical valves last longer but need lifelong anticoagulation
3. CBoth types need no medicines after surgery
4. DMechanical valves wear out within one year

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

Shortly after a thoracentesis, a patient becomes breathless with sharp chest pain and reduced breath sounds on the same side. What complication is most likely?

1. APneumothorax
2. BInfection at the puncture site
3. CPulmonary embolism from the leg
4. DRe-accumulation of the effusion