1.简单
What is overflow incontinence?
- ALeaking when sneezing or jumping
- BLeaking after a sudden strong urge
- CWetting caused by not being able to undress quickly
- DDribbling from a bladder that does not empty properly
2.简单
Which feature best distinguishes delirium from dementia?
- AGetting lost in places that were familiar
- BMemory problems in a person over the age of 75
- CA sudden onset with attention that comes and goes
- DDifficulty finding the right words
3.简单
糖尿病患者的低血糖通常以哪个血糖水平来界定?
- A低于 7.0 mmol/L(约 126 mg/dL)
- B低于 1.0 mmol/L(约 18 mg/dL)
- C低于 4.0 mmol/L(约 70 mg/dL)
- D低于 10 mmol/L(约 180 mg/dL)
4.中等
垂体手术后,一名患者三小时内每小时排尿 400 mL,尿比重低。护士应怀疑什么?
- ASIADH
- B尿崩症
- C急性肾损伤
- D正常利尿
5.中等
哪一组结果最支持 DKA 而不是 HHS?
- A渗透压极高,血中仅有微量酮体
- B血糖高于 30 mmol/L,pH 正常
- C酮体正常,碳酸氢盐正常
- D酮体高、pH 低于 7.3、碳酸氢盐低
6.中等
Which CSF result is most typical of bacterial meningitis?
- ABlood-stained fluid that clears in later tubes
- BClear fluid with normal cells, glucose and protein
- CClear fluid, many lymphocytes, normal glucose and slightly raised protein
- DCloudy fluid, many neutrophils, low glucose and high protein
7.困难
A patient with Addison's disease has been vomiting for a day. They are confused, with BP 78/40 mmHg, sodium 126 mmol/L and potassium 6.0 mmol/L. What is the priority?
- AOral hydrocortisone and an antiemetic by mouth
- BA fluid restriction for the low sodium
- CIV potassium to correct the electrolytes
- DIV hydrocortisone straight away, plus IV fluids
8.困难
对使用甘露醇治疗颅内压升高的患者,哪项护理很重要?
- A随餐口服给药以减轻恶心
- B夹闭导尿管以将液体保留在体内
- C治疗期间停止记录液体平衡表
- D密切监测尿量、血钠和渗透压
答案
- 1. D · Dribbling from a bladder that does not empty properly
- 2. C · A sudden onset with attention that comes and goes
- 3. C · 低于 4.0 mmol/L(约 70 mg/dL)
- 4. B · 尿崩症
- 5. D · 酮体高、pH 低于 7.3、碳酸氢盐低
- 6. D · Cloudy fluid, many neutrophils, low glucose and high protein
- 7. D · IV hydrocortisone straight away, plus IV fluids
- 8. D · 密切监测尿量、血钠和渗透压
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