1.简单
术后出现针尖样瞳孔、呼吸缓慢和嗜睡,最可能提示:
- A单纯颅内压增高
- B低血糖
- C脱水
- D阿片类药物中毒
2.简单
哪项体征提示静脉留置针部位发生了静脉炎?
- A远离穿刺部位的皮肤苍白发凉
- B皮肤正常且无痛
- C患者口渴
- D沿静脉走行发红、疼痛和肿胀
3.简单
In acute appendicitis, where does the pain classically start and where does it move to?
- AIt starts around the umbilicus and moves to the right lower abdomen
- BIt starts in the left lower abdomen and stays there
- CIt starts in the left shoulder and moves to the back
- DIt starts in the right upper abdomen and moves up to the centre of the chest
4.中等
What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?
- ATake it with a large glass of milk to protect the stomach lining
- BSwallow the spray rather than leaving it under the tongue
- CSit down before using it, as it can cause dizziness and low blood pressure
- DUse it only after the pain has lasted over an hour, with the patient lying flat
5.中等
What should a patient starting oral iron tablets be told?
- ATheir urine will turn bright green
- BTheir stools may turn dark or black
- CThe tablets will cause weight loss
- DThey must take the tablets with strong tea
6.中等
When should discharge planning usually begin?
- AAfter the patient has been home for a week
- BOnly after the patient asks to go home
- COn the morning of discharge
- DOn or soon after admission
7.困难
一名颅脑损伤患者的 GCS 从 14 分降至 10 分,一侧瞳孔变大且对光反应迟钝。护士应该怎么做?
- A给予镇静剂使患者平静
- B在下一次常规观察时复查 GCS
- C作为神经科急症立即上报
- D鼓励患者睡觉
8.困难
Why might a patient with diabetes who takes a beta-blocker not notice hypoglycaemia early?
- ABeta-blockers raise blood glucose, so true hypoglycaemia cannot happen at all
- BBeta-blockers can mask warning signs such as tremor and a fast heart rate
- CBeta-blockers make the patient sleep through the night
- DBeta-blockers stop the liver from responding to insulin
答案
- 1. D · 阿片类药物中毒
- 2. D · 沿静脉走行发红、疼痛和肿胀
- 3. A · It starts around the umbilicus and moves to the right lower abdomen
- 4. C · Sit down before using it, as it can cause dizziness and low blood pressure
- 5. B · Their stools may turn dark or black
- 6. D · On or soon after admission
- 7. C · 作为神经科急症立即上报
- 8. B · Beta-blockers can mask warning signs such as tremor and a fast heart rate
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