问题 单项选择题

李女士,47岁,患风湿性心脏病二尖瓣狭窄6年余,近日上呼吸道感染后出现心力衰竭表现,即乏力,稍事活动就心慌、憋气,伴有食欲不振、肝区胀痛;双下肢轻度水肿,双肺底湿啰音,心率128次/分。护士应如何指导病人休息( )

A.活动不受限制
B.从事轻体力活动
C.增加睡眠时间,可起床做轻微活动
D.卧床休息,限制活动量
E.严格卧床休息,采取半卧位

答案

参考答案:D

解析: 心功能分为四级:Ⅰ级:体力活动不受限制。Ⅱ级:体力活动轻度受限,日常活动可引起气急、心悸。Ⅲ级:体力活动明显受限,稍事活动即引起气急、心悸,有轻度脏器淤血体征。Ⅳ级:体力活动重度受限,休息时亦气急、心悸,有重度脏器淤血体征。根据心功能分级决定活动量。心功能Ⅰ级:不限制一般的体力活动,但应避免剧烈运动和重体力劳动。心功能Ⅱ级:适当限制体力活动,增加午睡时间。心功能Ⅲ级:严格限制一般的体力活动,但日常生活可以自理或在他人协助下自理。心功能Ⅳ级:绝对卧床休息,生活由他人照顾。根据该病人的临床表现,判断为心功能Ⅲ级,故应卧床休息,限制活动量。

完形填空

第三节完形填空(共20小题;每小题1.5分,满分30分)

The Colors of Friendship

Once upon a time the colors of the world started to quarrel. Green said, “Clearly I am the most important. I am the sign of life and hope. I was chosen for grass, trees and leaves. Without me, all animals would  21  .”

Blue interrupted, “You only think about the  22  , but consider the sky and the sea.

23   the water that is the basis of life and drawn up by the clouds from the deep sea. Without my peace, you would all be  24  .”

Yellow chuckled (笑道), “You are all so serious. I bring laughter, fun, and   25  into the world.”

Orange started next to blow her trumpet, “I am the color of health and strength. I may be  26  , but I am precious for I serve the needs of human life. When I fill the sky      27  , my beauty is so striking that no one gives another  28  to any of you.”

Red could stand it  29   and he shouted out, “I am the ruler of all of you. I am the color of danger and of bravery. I am willing to  30  truth. I am also the color of passion and of love.”

Then came Purple and Indigo (深蓝) …

The colors went on boasting, each convinced of his or her own  31 . Their quarreling became louder and louder. Suddenly there was a startling flash of bright lightening thunder. Rain started to pour down  32  . The colors crouched (蜷缩) down  33  , drawing close to one another for comfort.

In the midst of the clamor (叫嚷), rain began to speak, “You foolish colors, fighting  34  yourselves, each trying to dominate _35_. Don’t you know that you were each made for a special purpose, _36_? Join hands with _37_ and come to me.”

Doing as they were told, the colors _38_ and joined hands. They formed a colorful rainbow. From then on, whenever a good rain _39_ the world, a rainbow appears in the sky. They remember to _40_ one another.

21. A. stay             B. leave             C. go out      D. die

22. A. earth           B. moon            C. star          D. sun

23. A. That is         B. I am             C. It is         D. This is

24. A. anything         B. nothing            C. something    D. everything

25. A. warmth         B. sadness             C. depression    D. anxiety

26. A. usual           B. normal                 C. common      D. scarce

27. A. at midnight      B. at noon or at night  C. at sunrise or sunset   D. during the day

28. A. gift             B. honor            C. thought     D. respect

29. A. for more         B. any more          C. very much    D. no longer

30. A. turn to         B. fight for           C. struggle with       D. bend over

31. A. superiority      B. disadvantages       C. inferiority   D. weakness

32. A. gently          B. quietly             C. violently      D. peacefully

33. A. with care       B. in fear            C. by chance     D. on purpose

34. A. among            B. by                C. for              D. against

35. A. others          B . themselves        C. the other      D. the rest

36. A. equal and simple  B. ordinary and similar C. more or less D.unique and different 

37. A. each other       B. me                C. one another  D. them

38. A. combined        B. separated          C. united      D. divided

39. A. cleans          B. washes             C. brightens      D. dampens

40. A. appreciate       B. quarrel with         C. ignore      D. praise

多项选择题