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

Яке положення зазвичай полегшує дихання пацієнта при гострому загостренні ХОЗЛ?

1. AСидячи, нахилившись уперед з опорою для рук
2. BЛежачи на животі на твердому матраці
3. CЛежачи на спині з піднятими на подушках обома ногами
4. DЛежачи на боці з опущеною головою

What is a "barrel chest"?

1. AA sunken breastbone that has been present since birth
2. BA wider front-to-back chest diameter from air trapping
3. CA chest that moves inward on breathing in
4. DA curved spine that bends to one side and twists the ribs

Where are AED pads usually placed on an adult?

1. ABelow the right collarbone and on the left side below the armpit
2. BOn each upper arm
3. CBoth pads on the back, side by side between the shoulder blades
4. DBoth pads on the abdomen, just below the ribs on either side

A patient is on a short course of oral prednisolone for an asthma exacerbation. Which effect should the nurse monitor for?

1. ALow blood sodium
2. BLow blood pressure
3. CRaised blood glucose
4. DSlow heart rate

Як слід вводити підшкірно еноксапарин із попередньо заповненого шприца?

1. AУ живіт, залишивши бульбашку повітря, без розтирання
2. BЩодня в те саме місце живота, а потім масажувати
3. CШвидким внутрішньовенним болюсом через канюлю
4. DУ дельтоподібний м'яз, спершу видаливши бульбашку повітря

A nurse measures blood pressure on a large upper arm using a cuff that is too small. What effect will this have?

1. AThe reading will be falsely high
2. BThe reading will be falsely low
3. CThe reading will be accurate but slower
4. DOnly the pulse rate will be affected

Which instruction from the registered nurse to a healthcare assistant (unlicensed assistive personnel) caring for a patient with COPD is most appropriate?

1. A"Tell me straight away if his SpO₂ is under 88% or he is more breathless."
2. B"Listen to his chest after lunch and let me know what you can hear."
3. C"Turn his oxygen up to whatever he needs if he looks short of breath."
4. D"Teach him how to use his new inhaler this afternoon after his rest."

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?

1. AGive vitamin K and continue the infusion at a slightly lower rate
2. BIncrease the infusion, as the aPTT will settle
3. CContinue the infusion at the same rate and pack the nose firmly
4. DStop the infusion, inform the prescriber and anticipate protamine