问题 单项选择题

女,68岁,脑血管意外,经过抢救治疗,生命体征趋于平稳,但处于昏迷状态。护士交接班时发现病人骶尾部皮肤有2~3cm大小呈紫红色,并有小水疱。

骶尾部的小水疱融合成大水疱。护士应采取的正确措施是

A.保持局部皮肤湿润,防止水疱破裂
B.用无菌注射器抽出水疱内液体后用无菌敷料包扎
C.用乙醇按摩局部水疱,使其吸收
D.剪破水疱表皮后,涂以消毒液,用无菌敷料包扎
E.减少局部摩擦.防止破裂,让其自然吸收

答案

参考答案:B

解析: 压疮的护理
骶尾部的小水疱融合成大水疱说明病情继续严重,此时应用无菌注射器将水泡中液体吸出,不必剪去表皮,局部消毒后,再用无菌辅料包扎,根据情况选择紫外线或红外线照射治疗。故选B。

单项选择题 A1型题
完形填空
My friend Michelle is blind, but you’d never know it. She makes such good use of her other   36 , including her "sixth sense", that she rarely gives the impression she’s   37  anything.
Michelle looks after her children pretty much like the rest of us,   38  that she doesn’t push too hard on them,   39  really benefit a lot from her relaxed attitude. She knows when to clean the house, she moves around so fast that often   40  don’t realize she’s blind.
I   41  this the first time after my six-year-old daughter, Kayla, went to play there. When Kayla came home, she was very   42  about her day. She told me they had baked cookies, played games and done art projects. But she was  43  excited about her finger-painting project."Mom, guess what?" said Kayla, all smiles. "I learned how to   44  colors today! Blue and red make purple, and yellow and blue make green! And Michelle  45  with us.
To my great   46  , my child had learnt about color from a blind friend! Then Kayla continued, "Michelle told me my  47  showed joy, pride and a sense of accomplishment. She really  48  what I was doing!" Kayla said she had never felt how good finger paints felt   49  Michelle showed her how to paint without looking at her paper.
I realized Kayla didn’t know that Michelle was blind. It had just never   50  in conversation. When I told her, she was  51  for a moment. At first, she didn’t believe me. "But Mommy, Michelle knew exactly what was in my picture!" Kayla   52 . And I knew my child was  53  because Michelle had listened to Kayla describe her artwork. Michelle had also heard Kayla’s   54 in her work.
We were silent for a minute. Then Kayla said slowly, "You know, Mommy, Michelle really did ‘see’ my picture. She just used my  55 ." Indeed, she uses a special type of “vision” that all mothers have.
小题1:
A.waysB.meansC.methodsD.senses
小题2:
A.enjoyed B.foundC.missedD.lost
小题3:
A.and B.exceptC.evenD.but
小题4:
A.whoB.itC.sheD.which
小题5:
A.childrenB.familyC.guestsD.friends
小题6:
A.realizedB.heardC.recognizedD.witnessed
小题7:
A.sadB.satisfiedC.excitedD.enjoyed
小题8:
A.especiallyB.not soC.a littleD.not at all
小题9:
A.paintB.drawC.createD.mix
小题10:
A.stayedB.paintedC.talkedD.played
小题11:
A.excitementB.encouragementC.delightD.surprise
小题12:
A.attitudeB.colorC.pictureD.paper
小题13:
A.touched B.distinguishedC.saw D.understood
小题14:
A.afterB.beforeC.untilD.when
小题15:
A.come upB.turned out C.referred toD.talked about
小题16:
A.curious B.quiet C.puzzledD.worried
小题17:
A.criedB.insisted C.complainedD.informed
小题18:
A.right B.wrong C.worriedD.uncertain
小题19:
A.shortcomingsB.difficultiesC.pride D.description
小题20:
A.paperB.pensC.handsD.eyes