问题 单项选择题

A client who has cervical cancer is scheduled to undergo internal radiation. In teaching the client about the procedure, the nurse would be most accurate in telling the client()

A. she’ll be in a private room with unrestricted activities.

B. a bowel-cleansing procedure will precede radioactive implantation.

C. she’ll be expected to use a bedpan for urination.

D. the preferred positioning in bed will be semi-Fowler’s.

答案

参考答案:B

解析:

The client will receive an enema before the procedure because bowel motility during cervical radiation implant therapy can disrupt or dislodge the implants. The client will be in a private room, and activities will be restricted in order to keep the implants in place. To keep the bladder empty, an indwelling catheter will be used. Positioning in bed shouldn’t exceed a 20-degree elevation because sitting up can cause the implants to move from their intended locations. Semi-Fowler’s position is 45 degrees.

探究题

前苏联作家索尔仁尼琴的《古拉格群岛》一书中有这样一个情节:

        新任区委书记正在举行区会议,在会议结束时,通过了致斯大林的效忠信。不用说,全体起立(在会议进行过程中,每当提到他的名字时,大家也都一跃而起)。在这个小礼堂里"掌声雷动,转变为经久不息的欢呼"。3分钟,4分钟,5分钟,依然是掌声雷动,依然是经久不息的欢呼。但是,手掌已经发疼了;抬起的手臂已经麻木了;上了年纪的人已经喘不过气来了;连那些真心诚意崇拜斯大林的人,也已经感到这种状况愚不可耐了。然而,谁敢第一个停下来呢?那个站在台上刚宣读过效忠信的区委书记本可这样做。但他是刚上任的,他是来接替入狱的前任的,他自己也害怕呀。要知道在这里,在会场里,也有内务人民委员会人员站在那里鼓掌,他们注视着谁将第一个住手……于是,在这个不知名的小礼堂里,在领袖不知道的情况下,掌声持续了6分钟,7分钟,8分钟……

        在会场后排,在人堆里,还可以稍稍耍点滑头,拍得少些,不那么使劲,不那么狂热;但是,在 * * 台上,在显眼的地方怎么办呢?大家都发疯了!区里的头头们怀着微弱的希望面面相觑,但脸上做出兴高采烈的样子,他们将继续鼓掌,一直到趴下,一直到用担架把他们抬出去……

        但造纸厂厂长在第十一分钟时恢复神态,在 * * 团里自己的位置上坐下来。于是,奇迹发生了!大家同时在同一击掌声上停止了,也都坐下来。他们得救了!

        然而,这个造纸厂厂长因为这件事被克格勃捉了去,判刑10年。侦查员还教育他:"永远不要第一个停止鼓掌。"

        看完这个不是笑话的笑话,你有什么感觉?将你的想法说出来。

                                                                                                                                                             

                                                                                                                                                             

                                                                                                                                                             

                                                                                                                                                             

                                                                                                                                                             

问答题 简答题