问题 单项选择题

Vasodilation or vasoconstriction produced by an external cause will interfere with an accurate assessment of a client with peripheral vascular disease (PVD). Therefore, the nurse should

A.keep the client warm.

B.maintain room temperature at 78°F (25.6℃).

C.keep the client uncovered.

D.match the room temperature with the client's body temperature.

答案

参考答案:A

解析:The nurse should keep the client covered and expose only the portion of the client's body that is being assessed. The nurse should also keep the client warm by maintaining his room temperature between 68° and 74°F (20° and 23.3℃). Extreme temperatures aren't good for clients with PVD. The valves in their arteries and veins are already insufficient and exposing them to vast changes in temperature could influence the client's response. A room temperature of 78°F may be too warm for some clients and too cool for others. Keeping the client uncovered would lead to chilling. Matching the room temperature with the client's body temperature is inappropriate.

判断题
阅读理解与欣赏

阅读下面的文言文,完成1~4题。

  张顺,民兵部将也。襄阳受围五年,宋闯知其西北一水曰清泥河,源于均、房,即其地造轻舟百艘,以三舟联为一舫,中一舟装载,左右舟则虚其底而掩覆之。出重赏募死士,得三千。求将,得顺与张贵,俗呼顺曰“矮张”,贵曰“竹园张”。俱智勇,素为诸将所服,堡为都统。出令曰:“此行有死而已,汝辈或非本心,宜亟去,毋败吾事。”人人感奋。

  汉水方生,发舟百艘,稍进团山下。越二日,进高头港口,结方陈,各船置火枪、火炮、炽炭、巨斧、劲弩。夜漏下三刻,起矴出江,以红灯为识。贵先登,顺殿之,乘风破浪,径犯重围。至磨洪滩以上,北军舟师布满江面,无隙可入。众乘锐凡断铁缝攒代数百,转战百二十里,黎明抵襄城下。城中久绝援,闻救至,踊跃气百倍。及收军,独失顺。越数日,有浮尸溯流而上,被介胄,执弓矢,直抵浮梁,视之顺也,身中四枪六箭,怒气勃勃如生。诸军惊以为神,结冢敛葬,立庙祀之。

  张贵既抵襄,襄帅吕文焕力留共守。贵恃其骁勇,欲还郢,乃募二士能伏水中数日不食,使持蜡书赴郢求援。北兵增守益密,水路连锁数十里,列撒星桩,虽鱼虾不得度。二人遇桩即锯断之,竞达郢,还报,许发兵五千驻龙尾洲以助夹击。

  刻日既定,乃别文焕东下,点视所部军,洎登舟,帐前一人亡去,乃有过被挞者。贵惊曰:“吾事泄矣,亟行,彼或未及知。”复不能衔枚隐迹,乃举炮鼓噪发舟,乘夜顺流断矩破围冒进,众皆辟易。既出险地,夜半天黑,至小新城,大兵邀击,以死拒战。沿岸束荻列炬,火光烛天如白昼。至勾林滩,渐近龙尾洲,遥望军船旗帜纷披,贵军喜跃,举流星火示之。军船见火即前迎,及势近欲合,则来舟皆北兵也。盖郢兵前二日以风水惊疑,退屯三十里,而大兵得逃卒之报,据龙尾洲以逸待劳。贵战已困,出于不意,杀伤殆尽,身被数十枪,力不支见执,卒不屈,死之。乃命降卒四人舁尸至襄,令于城下曰:“识矮张乎?此是也。”守陴者皆哭,城中丧气。文焕斩四卒,以贵袱葬顺冢,立双庙祀之。(选自《宋史》)

1.下列句子中加粗的词的解释,不正确的一项是(     )

A.汉水方生,发舟百艘,进团山下——稍:稍微

B.诸军惊以为神,结冢敛葬,立庙之——祀:祭拜

C.乘夜顺流断短破围冒进,众皆易——辟:通“避”,躲避

D.贵战已困,出于不,杀伤殆尽——意:料想

2.以下各组句子中,全都表现张顺张贵英勇无畏的一组是(     )

①贵先登,顺殿之

②此行有死而已,汝辈或非本心,宜亟去

③身中四枪六箭,怒气勃勃如生

④众乘锐凡断铁短攒卡弋数百,转战百二十里

⑤二人遇桩即锯断之,竟达郢

⑥身被数十枪,力不支见执,卒不屈

A.①③⑤

B.①④⑥

C.②③⑥

D.②④⑤

3.下列对原文有关内容的分析和概括,不正确的一项是(     )

A.宋朝将领将三艘小船连在一起成为一艘舫,用中间一艘小船装载兵士,左右两艘则将其底凿空并盖上盖子来作为掩饰。

B.张贵率军突围时,元军“皆辟易”,只是由于叛兵的出卖,使得元军占据龙尾洲以逸待劳,才导致突围失败,自己被擒,被杀。

C.张贵突围前派遣两名士兵赴新郢求援。这两名士兵,在重围中置生死于度外,成功突围,最后竟然到达了郢,表现得无比英勇。

D.在各船中装备各种作战工具,入夜过了三刻后才起航出江,并用红灯作为信号,能看出张顺张贵在率军解救襄阳之前是做了充分准备的。

4.把文中画横线的句子翻译成现代汉语。

(1)俱智勇,素为诸将所服,俾为都统。

译文:_____________________________________________

(2)刻日既定,乃别文焕东下,点视所部军,洎登舟,帐前一人亡去,乃有过被挞者。

译文:_____________________________________________