MRCP UK EXAMINATIONS

CARDIOLOGY

VENTRICULAR SEPTAL DEFECT

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 78-year-old patient is scheduled for transition to home after treatment for heart disease. The patient’s spouse, who has chronic obstructive pulmonary disease, plans to care for the patient at home. The spouse says that their grown children, who live nearby, will help. The best approach to discharge planning is to
A
Arrange nursing home placement for the couple
B
Consult the spouse’s healthcare provider about the spouse’s ability to care for the patient
C
Contact the children to ascertain their commitment to help
D
Discuss community resources with the spouse and offer to make referrals
Explanation: 

Detailed explanation-1: -Quality improvement is focused on making processes better. The first step is finding your practice’s key problems. You then need to identify and prioritize potential change projects.

Detailed explanation-2: -Conclusions: When the use of resources is taken into account, the most efficient regimen of prophylaxis against respiratory complications after abdominal surgery is deep breathing exercises for low risk patients and incentive spirometry for high risk patients.

Detailed explanation-3: -When examining a patient who is paralyzed below the T4 level, the medical-surgical nurse expects to find: flaccidity of the upper extremities.

Detailed explanation-4: -The Sim’s or lateral position is used for renal surgery. The dorsal recumbent position is the usual position for surgical procedures.

There is 1 question to complete.