问题 多项选择题 案例分析题

患者,女性,55岁,出现大便次数增多,偶尔可见粪便带血或黏液已半年余,近1个月来自觉右下腹隐痛不适,体重减轻约3公斤。

护士在评估病人时需要进一步了解哪些情况?()

A.饮食习惯

B.排便习惯

C.有否溃疡性结肠炎病史

D.腹部有无包块

E.辅助检查结果

F.心理情绪变化

G.营养状况

H.家属配合情况

答案

参考答案:A, B, C, D, E, F, G, H

解析:

7.直肠癌早期临床表现主要为便血和排便习惯改变,在癌肿局限于直肠粘膜时便血作为唯一的早期症状。有些病人也可出现直肠刺激症和大便变形。

10.右半结肠癌是指位于腹部偏右侧这一段结肠发生的结肠癌,主要表现是大便次数增多,大便带粘液和血,癌肿可以增大形成狭窄,继而出现腹胀、腹痛、不排气等肠梗阻的症状。约75%的病人有腹部不适或隐痛,初为间歇性,后转为持续性,常位于右下腹部,很像慢性阑尾炎发作。

阅读理解

阅读理解。

     It was a hot Sunday afternoon and the two of us were heading for the capital city. Suddenly my son

gave a shout of pain. He had somehow managed to tangle up (围绕) his small body in his seat belt. I

immediately pulled off the road.

     I could have tried to stop a car, but they were driving by so fast. At that moment, I would have cut

the belt if I had something to cut it with. Then I thought that I could retract (缩回) little further in order

that it might work. But if that failed, my son's little stomach would be squeezed even tighter.

     Just then a man appeared. He wore a white shirt and trousers that I'd seen on Costa Rican cowboys

and his clothes so dirty that I thought he might be a beggar or worse.

     Yet when the stranger reached us, he asked me if I needed help. I pointed to my son and he took a

look. He then bent down beside my son, tracing the path of the smooth seat belt with with his rough fingers. After a long moment, he asked my son to bend sideways and a little bit forward. He then put his hands

on the belt, controlled it in a way that I still don't understand now, and my son was free.

     I thanked him warmly. I also reached into my wallet and gave him a bill, although his calm face

suggested that he didn't care about a reward. He had found a new way to use his roping skills, particularly those he used when freeing animals. And I had experienced the kindness.

1. What happened to the author's son? 

A. He was unable to move in his seat belt.

B. He suddenly suffered from a stomachache.

C. He fell off his seat and hurt his stomach.

D. He saw something interesting on the journey.

2. From the passage, we know the cowboy __________.  

A. taught the author how to free her son      

B. was familiar with the author's son

C. refused to accept the money            

D. was good at roping.

3. What would be the best title for the passage? 

A. cowboy in Costa Rican.

B. A kind and quick roadside help.

C. A hard journey

D. A story of a cowboy

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