问题 单项选择题

During a late stage of acquired immunodeficiency syndrome (AIDS), a client demonstrates signs of AIDS-related dementia. The nurse should give the highest priority to which nursing diagnosis

A.Bathing or hygiene self-care deficit.

B.Ineffective cerebral tissue perfusion.

C.Dysfunctional grieving.

D.Risk for injury.

答案

参考答案:D

解析:In a client with AIDS, deterioration of the central nervous system (CNS) can lead to AIDS-related dementia. Because this type of dementia impairs cognition and judgment, it places the client at risk for injury. Although self-care deficit and dysfunctional grieving can be associated with AIDS, they don't take precedence for a client with AIDS-related dementia. Because CNS deterioration results from infection--not altered tissue perfusion--Ineffective cerebral tissue perfusion isn't an appropriate diagnosis.

阅读理解与欣赏

阅读理解。

  ①问题出在30多年。塔里木河两岸人口激增,水的需求也跟着增加。扩大后的耕地要用水,开采矿藏需要水,水从哪里来?人们拼命向塔里木河要水。几十年间塔里木河流域修筑水库130多座,任意掘堤修引水口138处,建抽水泵站400多处,有的泵站一天就要抽水1万多立方米。     

  ②盲目增加耕地用水、盲目修建水库截水、盲目掘堤引水、盲目建泵站抽水,“四盲”像个巨大的吸水鬼,终于将塔里木河抽干了,使塔里木河的长度由60年代的1321公里急剧萎缩到现在的不足1000公里,320公里的河道干涸,以致沿岸5 万多亩耕地受到威胁。断了水的罗布泊成了一个死湖、干湖。罗布泊干涸后,周边生态环境马上发生变化,草本植物全部枯死,防沙卫士胡杨林成片死亡,沙漠以每年3 米至5 米的速度向湖中推进。罗布泊很快与广阔无垠的塔克拉玛干大沙漠浑然一体。

  ③罗布泊消失了。

1. 第①段中加粗的词“问题”指什么?

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2. 画线句子多次引用数据,起到什么作用?

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3. 第③段中的四个“盲目”能否删去?为什么?

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4. 罗布泊消失的原因是什么?

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单项选择题 B1型题