问题 单项选择题

A client is in the first postoperative day after a total laryngectomy and radical neck dissection. Which of the following is a priority goal

A. Communicate by use of esophageal speech.
B. Improve body image and self-esteem.
C. Attain optimal levels of nutrition.
D. Maintain a patent airway.

答案

参考答案:D

解析:Although all of these options are appropriate postoperative goals, maintaining a patent airway takes priority, especially on the first postoperative day. A laryngectomy tube is most likely to be in place, and suctioning is commonly needed to clear secretions. Edema and hematoma formation at the surgical site also can increase the risk of a blocked airway. Communicating by use of esophageal speech and attaining optimal level of nutrition are important hut wouldn’t take priority on the first postoperative day. Improving body image is a long-term goal.

选择题
填空题

Questions


·Read the following passage and choose the best word for each space.
Do you want to send an e-mail message to the White House
Good luck.
In the past, (26) President Bush — or at least those assigned to read his mail — what was (27) your mind it was necessary only to sit down at a personal computer connected to the lnternet and (28) a note to president@ whitehouse.gov.
But this week, Tom Matzzie, an online organizer with the A.F.L.-C.I.O., discovered that (29) with the White House had become a bit more (30) . When Mr. Matzzie sent an e-mail protesting (31) a Bush administration policy, the message was bounced back With an automated reply, saying he had to send it again in a new way.
Under a system (32) on the White House Website (33) the first time last week, those who want to send a message to President Bush must now (34) as many as nine Web pages and (35) a detailed form that starts by asking whether the message sender supports White House policy (36) differs with it.
The white House says the new e-mail system is an effort to be more responsive (37) the public and offer the administration "real time" access (38) citizen comments.
Completing a message to the president also requires (39) a subject from the provided list, then entering a full name, organization, address and e-mail address. (40) the message is sent, the writer must wait for an automated response (41) his message, (42) whether the addressee intended to send the message. The message is delivered to the White House only after the person using that e-mail address (43) it.
"Over (44) , it’s a very cumbersome process," said Jakob Nielsen, an authority on Web design. "It’s probably designed deliberately to (45) on their e-mail.\

A. connection B. communication C. link D. relationship