问题 问答题 案例分析题

王先生,30岁,头晕、头痛、恶心、呕吐1周。查:体温36.6oC,脉搏80次/分,呼吸20次/分,血压180/100mmHg,神志清,两下肢明显浮肿。血红蛋白60g/L,尿蛋白+++,蜡样管型0~1个/HP,尿红细胞2~3个/HP,CO2CP13mmol/L,血尿素氮21mmol/L,家庭经济困难,常无钱治疗。

主要护理诊断。

答案

参考答案:

主要护理诊断:

焦虑与家庭经济困难、疾病反复发作、担心预后不良有关;

体液过多与肾小球滤过率下降导致钠水潴留有关;

营养失调:低于机体需要量与消化功能紊乱、贫血有关;

有感染的危险与皮肤水肿、营养不良有关;

活动无耐力与贫血、水电解质酸碱平衡紊乱有关。

阅读理解

阅读理解。

     Joan worked in a hospital as a nurse. One evening there was a big dance at the hospital. Most of the

doctors and nurses would be there, but of course somebody had to be left to look after the sick children,

and Joan was not of the lucky ones. She liked dancing very much, so when she had to start work that

evening while her friends were getting ready to go to the dance, she felt very sorry for herself.

     She went to each sick child one after another and said good-night, until she came to one little boy, Dick.

He was eleven years old, but he was already able to talk like an adult. Poor Dick had a very serious illness,

and now he was hardly able to move any part of his body except his hands. Joan knew he would never get

any better, but he was always happy and always thinking about other people instead of himself.

     Dick knew that Joan loved dancing. So when she came to say good-night to him, he greeted her with

the words,"I'm very sorry that you have to miss the dance because of us. But we are going to have a party

for you. If you look in my drawer, you find a piece of cake. I saved it from my dinner today, so it is quite

fresh. And there is also a dollar there. You can buy something to drink with that. And I'll get up and dance

with you myself if I was able to," he added.

     Suddenly the hospital dance seemed very far away and not at all important to Joan.

1. Joan felt unlucky that evening mainly because ________.

A. there was a dance ball at the hospital

B. of her unpleasant job

C. she would lose the chance to go to the big dance at the hospital

D. she hated to look after the children

2. Poor Dick ________.

A. was an adult.

B. loved dancing

C. was badly ill in the hospital

D. could move freely except his hands

3. Dick was lovely because ________.

A. he was always talking like a child

B. he was always thinking about others more than himself

C. he saved a piece of cake for himself

D. he could foresee (预知) that he would never get better

4. Which of the following is NOT true?

A. Dick got up to greet Joan when she came.

B. Dick heard about the dance.

C. Dick knew why Joan was unhappy.

D. Dick showed sympathy (同情) for Joan.

5. At that party for Joan, Dick probably ________.

A. got up and dance with her

B. gave Joan some cake he had saved

C. brought her something to drink

D. lost the dollar which he was going to give Joan

判断题