患者男，70岁。患肺心病10年，近2日来感觉头痛、恶心、烦躁，血压160/95mmHg、心率125次／分，护士对其护理措施最主要的是（）
A.应用呼吸兴奋剂
B.改善通气、氧疗
C.合理休息
D.合理饮食
E.静推安定
参考答案：B
解析：肺组织损害严重引起缺氧，二氧化碳潴留，可导致呼吸和（或）心力衰竭。缺氧早期主要表现为发绀、心悸和胸闷等，病变进一步发展时发生低氧血症和高碳酸血症，可出现各种精神神经障碍症状，称为肺性脑病。表现为头痛、头胀、烦躁不安、语言障碍，并有幻觉、精神错乱、抽搐或震颤等。该患者是缺氧的表现，应通气、氧疗。故选B。解题关键：肺心病易并发呼吸衰竭，出现缺氧表现，应及时通气、氧疗。【考点】：肺心病并发呼吸、心力衰竭的护理
完形填空（共20小题；每小题1分，满分20分）  阅读下面短文，掌握其大意，然后从41～60各题所给的四个选项（A.B.C和D）中，选出最佳选项，并在答题纸上将该选项标号涂黑。 Jack Baines is a self-made millionaire, but his beginnings were very lowly. He was the youngest of eight children. His father had a 41 in a cotton mill (纱厂), but he was often 42 to work because of poor health. The family couldn’t 43 to pay the rent or bills, and the children often went 44 . After leaving school at the age of 14, Jack was 45 what to do when Mr Walker, his old teacher, offered to lend him ￡100 to start his own 46 . It was just after the war. Raw materials were not enough, and Jack saw a 47 in scrap metal(废弃金属). He bought bits of metal and stored it in an old garage. When he had built up a large amount, he sold it and 48 plenty of money. Jack 49 working hard. After one year he succeeded in 50 the ￡100. By the time Jack was 30 years old he had 51 his first million, and he wanted to 52 this achievement by doing something “ 53 ”. With all his money it was 54 to build a beautiful home for himself and his parents. In 1959, “Baines Castle” was built in the 55 of the Lancashire countryside. It was one of the finest buildings in the country. Jack has recently sold “Baines Castle” for ￡500 million, 56 Jack still can’t get used to 57 the good life. He can 58 be found drinking with the locals at the local pub（酒吧）. “I remember being very 59 as a child, but never 60 as a child,” says Jack, “and I will never forget where I came from and who I am.”
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