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Analise as afirmativas sobre as alterações nas atualizações das diretrizes de 2017 da American Heart Association (AHA) para suporte básico de vida (SBV) e para ressuscitação cardiopulmonar e atendimento cardiovascular de emergência (ACE), colocando entre parênteses a letra “V”, quando se tratar de afirmativa verdadeira, e a letra “F” quando se tratar de afirmativa falsa. A seguir, assinale a alternativa que apresenta a sequência correta.
( ) Socorristas treinados em Ressuscitação Cardiopulmonar (RCP) devem aplicar a relação compressão-ventilação de 30:2 em adultos em parada cardiorrespiratória (PCR).
( ) Socorristas leigos treinados em RCP somente com compressão torácica devem aplicar ventilação e compressões torácicas para o adulto em PCR.
( ) Quando a vitima estiver em uso de via área avançada durante a RCP, os profissionais podem administrar uma ventilação a cada 6 segundos à medida que são aplicadas compressões torácicas continuas.
L.S.S, 28 anos, motociclista, solteiro, perdeu o controle da moto e bateu contra um muro. Deu entrada no hospital geral do município que é também referência em traumatologia, apresentando dispneia e lesão aguda na medula espinhal. Ao desenvolver a Sistematização da Assistência de Enfermagem, a(o) enfermeira(o) elencou alguns possíveis diagnósticos de enfermagem para o caso mencionado. Analise as afirmativas abaixo, a seguir, assinale a alternativa que apresenta a sequência correta.
I. Padrão respiratório ineficaz relacionado à fraqueza muscular.
II. Medo relacionado ao déficit de conhecimento e à experiência cirúrgica prévia.
III. Risco de integridade cutânea diminuído relacionada com a imobilidade.
IV. Constipação decorrente da ruptura autônoma e presença de intestino atônico.
Sobre a Resolução N° 567/2018 do Conselho Federal de Enfermagem que regulamenta a atuação da(o) enfermeira(o) no cuidado aos pacientes com feridas, assinale a alternativa que apresenta a resposta correta.
I. Cabe a(o) enfermeira(o) delegar ao técnico de enfermagem os curativos de feridas de maior complexidade técnica.
II. A depender do grau de comprometimento dos tecidos, a(o) enfermeira(o) pode realizar curativos em todos os tipos de feridas.
III. É vedada a(o) enfermeira(o) a prescrição de medicamentos e coberturas que não estejam dispostos nos Protocolos da Instituição e/ou Programas de Saúde.
IV. É facultado a(o) enfermeira(o), mediante capacitação, o direito de utilizar laser, hidrozonioterapia, eletroterapia na assistência ao paciente com feridas.
Sobre os cuidados de enfermagem em paciente em uso de irrigação vesical contínua, analise as proposições abaixo e, em seguida, assinale a alternativa que apresenta a resposta correta.
I. A troca do frasco de Solução Fisiológica 0,9% deve ser feita após o término do frasco anterior, para evitar obstrução da sonda.
II. A diurese deve ser desprezada da bolsa coletora quando o volume estiver com 2/3 da capacidade total e ao término do frasco de SF 0,9%.
III. Deve-se atentar para sinais de obstrução como distensão abdominal, dor e não drenagem na bolsa coletora.
IV. Para instalar a irrigação vesical, é necessário que o paciente esteja com uma sonda vesical de duas vias.
Segundo a Organização Mundial de Saúde (OMS, 2009) as infecções do sítio cirúrgico constituem um problema sério de saúde pública à medida que contribuem para 37% das infecções de pacientes cirúrgicos adquiridas em hospital e para cerca de 15% de todas as infecções relacionadas à assistência a saúde. Sobre os vários métodos indicados para evitar a contaminação cirúrgica, assinale a alternativa que apresenta a resposta correta.
I. Curativo estéril deve ser mantido sobre a ferida cirúrgica por 24 a 48 horas, conforme prescrição.
II. Os pêlos devem ser removidos, com uso de laminas, menos de duas horas antes da cirurgia a fim de diminuir o risco de infecção do sítio cirúrgico.
III. Quando a vancomicina e usada como agente profilático, faz-se necessário a repetição da substância e dosagem em cirurgias que durem menos de dez horas.
IV. Antes da indução anestésica, o profissional da equipe de enfermagem responsável pela preparação das bandejas cirúrgicas deve confirmar a esterilidade dos instrumentais e comunicar quaisquer intercorrência ao cirurgião e ao anestesiologista.
Analise as afirmativas sobre medidas de prevenção de quedas em instituições de saúde, colocando entre parênteses a letra “V”, quando se tratar de afirmativa verdadeira, e a letra “F” quando se tratar de afirmativa falsa. A seguir, assinale a alternativa que apresenta a sequência correta.
( ) Realize a identificação do paciente com risco de queda por meio de pulseira e/ou de sinalização à beira do leito.
( ) Os pacientes com risco de queda devem ter supervisão intensiva, sobretudo aqueles que apresentarem confusão mental. Nessa situação, procure conscientizar a família sobre a importância da presença de um acompanhante.
( ) Entregue a orientação institucional sobre a prevenção de quedas (panfletos etc.), ao paciente e ao acompanhante, no primeiro dia de internação.
Assinale a alternativa que completa corretamente a lacuna abaixo.
“______________ fornece dados fundamentais para o desenvolvimento da Sistematização da Assistência de Enfermagem. Ao ser elaborado por toda equipe de enfermagem, fornece dados brutos referentes a um momento pontual do paciente tomando-se fonte de informações essenciais para assegurar a continuidade da assistência.”
Texto 4
FRANK WHITTLE AND THE INVENTION OF THE JET ENGINE:
SIX PLACES TO TRACE HIS GENIUS
It was, in many ways, a very British sort of achievement. When the turbine began to spin on the “WU” – the prototype jet engine developed by the Coventry-born engineer Frank Whittle – it was a moment which changed the world. Had you been passing through the byways of Rugby, in Warwickshire, more than 80 years ago, you might even have heard it. A thrum of mechanics in sync, building and building, growing in intensity to become a roar; a giddy howl which would permanently alter the way we journey around our planet.
And yet it might so easily not have happened. Whittle’s triumph – on April 12, 1937 – was garnered in the face of official indifference and scientific doubt, and was only pulled off by a merest financial hair’s breadth, with the Second World War crowding in on all sides.
( . . . )
Here was a visionary who began fomenting his design for a jet engine as early as 1927, and patented it in 1930, yet had to swim against the current after seeing his idea pooh-poohed by the UK's Air Ministry – which, upon seeing the blueprint in 1929, deemed it “impracticable.”
Undeterred, Whittle took his own path. In January 1936, he founded a private company, Power Jets Ltd, with aeronautical engineer Rolf Dudley Williams and retired RAF officer James Collingwood Tinling. With £2,000 of funding from O.T. Falk & Partners – an investment bank which was known for taking risks – the trio began converting what had been decried as fantasy into reality. That first blur of blades as the WU (Whittle Unit) screamed into life was followed by a series of leaps forward.
The Air Ministry placed its first order for Whittle’s brainwave in January 1940. The first jet-powered British plane took off from RAF Cranwell, Lincolnshire, on May 15, 1941. The rest is so much history.
None of this occurred in isolation. The story of the jet engine can never be told without mentions of Maxime Guillaume, who secured a French patent for a jet engine with a gas turbine in 1921 (no prototype was ever produced as it was beyond the scope of existing technology), and of Hans Von Ohain, who beat Whittle to the punch by building the first fully operational jet engine in 1939 as Germany chased advantages in the global conflict.
( . . . )
RAF = Royal Air Force
LEADBEATER, C. Adaptado de Frank Whittle and the invention of the jet engine: Six places to trace his genius. In: The Telegraph. Disponível em: <https://www.telegraph.co.uk/travel/destinations/europe/unitedkingdom/england/articles/frank-whittle-and-the-birth-of-the-jet-engine/>. Acesso em: 08/06/2018
Texto 4
FRANK WHITTLE AND THE INVENTION OF THE JET ENGINE:
SIX PLACES TO TRACE HIS GENIUS
It was, in many ways, a very British sort of achievement. When the turbine began to spin on the “WU” – the prototype jet engine developed by the Coventry-born engineer Frank Whittle – it was a moment which changed the world. Had you been passing through the byways of Rugby, in Warwickshire, more than 80 years ago, you might even have heard it. A thrum of mechanics in sync, building and building, growing in intensity to become a roar; a giddy howl which would permanently alter the way we journey around our planet.
And yet it might so easily not have happened. Whittle’s triumph – on April 12, 1937 – was garnered in the face of official indifference and scientific doubt, and was only pulled off by a merest financial hair’s breadth, with the Second World War crowding in on all sides.
( . . . )
Here was a visionary who began fomenting his design for a jet engine as early as 1927, and patented it in 1930, yet had to swim against the current after seeing his idea pooh-poohed by the UK's Air Ministry – which, upon seeing the blueprint in 1929, deemed it “impracticable.”
Undeterred, Whittle took his own path. In January 1936, he founded a private company, Power Jets Ltd, with aeronautical engineer Rolf Dudley Williams and retired RAF officer James Collingwood Tinling. With £2,000 of funding from O.T. Falk & Partners – an investment bank which was known for taking risks – the trio began converting what had been decried as fantasy into reality. That first blur of blades as the WU (Whittle Unit) screamed into life was followed by a series of leaps forward.
The Air Ministry placed its first order for Whittle’s brainwave in January 1940. The first jet-powered British plane took off from RAF Cranwell, Lincolnshire, on May 15, 1941. The rest is so much history.
None of this occurred in isolation. The story of the jet engine can never be told without mentions of Maxime Guillaume, who secured a French patent for a jet engine with a gas turbine in 1921 (no prototype was ever produced as it was beyond the scope of existing technology), and of Hans Von Ohain, who beat Whittle to the punch by building the first fully operational jet engine in 1939 as Germany chased advantages in the global conflict.
( . . . )
RAF = Royal Air Force
LEADBEATER, C. Adaptado de Frank Whittle and the invention of the jet engine: Six places to trace his genius. In: The Telegraph. Disponível em: <https://www.telegraph.co.uk/travel/destinations/europe/unitedkingdom/england/articles/frank-whittle-and-the-birth-of-the-jet-engine/>. Acesso em: 08/06/2018
Choose the correct option.
The sentence: “That first blur of blades as the WU (Whittle Unit) screamed into life was followed by a series of leaps forward” means that
Texto 4
FRANK WHITTLE AND THE INVENTION OF THE JET ENGINE:
SIX PLACES TO TRACE HIS GENIUS
It was, in many ways, a very British sort of achievement. When the turbine began to spin on the “WU” – the prototype jet engine developed by the Coventry-born engineer Frank Whittle – it was a moment which changed the world. Had you been passing through the byways of Rugby, in Warwickshire, more than 80 years ago, you might even have heard it. A thrum of mechanics in sync, building and building, growing in intensity to become a roar; a giddy howl which would permanently alter the way we journey around our planet.
And yet it might so easily not have happened. Whittle’s triumph – on April 12, 1937 – was garnered in the face of official indifference and scientific doubt, and was only pulled off by a merest financial hair’s breadth, with the Second World War crowding in on all sides.
( . . . )
Here was a visionary who began fomenting his design for a jet engine as early as 1927, and patented it in 1930, yet had to swim against the current after seeing his idea pooh-poohed by the UK's Air Ministry – which, upon seeing the blueprint in 1929, deemed it “impracticable.”
Undeterred, Whittle took his own path. In January 1936, he founded a private company, Power Jets Ltd, with aeronautical engineer Rolf Dudley Williams and retired RAF officer James Collingwood Tinling. With £2,000 of funding from O.T. Falk & Partners – an investment bank which was known for taking risks – the trio began converting what had been decried as fantasy into reality. That first blur of blades as the WU (Whittle Unit) screamed into life was followed by a series of leaps forward.
The Air Ministry placed its first order for Whittle’s brainwave in January 1940. The first jet-powered British plane took off from RAF Cranwell, Lincolnshire, on May 15, 1941. The rest is so much history.
None of this occurred in isolation. The story of the jet engine can never be told without mentions of Maxime Guillaume, who secured a French patent for a jet engine with a gas turbine in 1921 (no prototype was ever produced as it was beyond the scope of existing technology), and of Hans Von Ohain, who beat Whittle to the punch by building the first fully operational jet engine in 1939 as Germany chased advantages in the global conflict.
( . . . )
RAF = Royal Air Force
LEADBEATER, C. Adaptado de Frank Whittle and the invention of the jet engine: Six places to trace his genius. In: The Telegraph. Disponível em: <https://www.telegraph.co.uk/travel/destinations/europe/unitedkingdom/england/articles/frank-whittle-and-the-birth-of-the-jet-engine/>. Acesso em: 08/06/2018
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