问题 单项选择题 A1型题

患者,32岁。上消化道出血,行三腔管止血,今晨护士发现出血已停止,可考虑()

A.从食管中注牛奶

B.撤去三腔管

C.放气3分钟再注气加压

D.放气,留置观察24小时

E.口服石蜡油准备拔管

答案

参考答案:D

解析:上消化道出血停止24小时后,取下牵引砂袋并将食管气囊和胃气囊放气,继续留置于胃内观察24小时,如未再出血,可嘱病人口服液体石蜡15~20ml,然后抽尽双囊气体,缓缓将三腔管拔出。可见选项D是最佳答案。解题关键:出血停止24小时后,放气留置观察24小时后再考虑拔三腔管。【考点】:三腔管的护理

阅读理解

When Tom finished his studies at the university (大学), he began to look around for a job. He did not know what he would like to do, but one of his uncles had worked for the government for thirty years, and he advised Tom to try to get a job of the same kind, so he went for an exam one day. He was successful, and his first job was in a large government office in London.

When Tom had been working there for a few weeks, his uncle came to visit the family one Saturday evening. He was pleased that his nephew (侄子) had got a job working for the government, and he asked him a lot of questions about it.

One of the questions he asked was, “How many people work in your department (部门), Tom?”

The young man thought for a few moments and then answered, “About half of them, Uncle Jim.”

小题1:When he graduated (毕业) from university, Tom was not ________.

A.interested in getting any information from the government

B.looking for a good-paying job with excellent hours

C.good at making decisions

D.very good at science小题2:What did Tom think of his uncle’s advice?

A.He did not like it.

B.He thought it was good

C.He refused to take it.

D.He was unable to follow it.小题3:The uncle wanted to find out ________.

A.what his nephew was doing

B.how his nephew was getting on with his job

C.whether his nephew could understand him or not

D.what his nephew had expected小题4:In fact Tom’s answer means that __________.

A.the people working in the government office were in many groups and they worked in turn

B.most of the government workers were not working hard

C.only half of the government workers went to work on time

D.the government office had more people than needed

判断题