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1、Bronchial Asthma支气管性哮喘1. Mr. Smith is suffering from acute respiratory distress resulting from an asthmatic attack. The nurse should place him in which position to allow for maximum air exchange?史密斯先生由于哮喘病发作而呼吸窘迫，为保持呼吸通畅，护士应给他安置 什么样的体位？A. High Fowlers.B. Semi- Fowlers.C. Orthopneic（端坐位）.D. Supine wi
2、th pillows.2. A nurse is giving instructions about the use of inhalant medications to a patient who has asthma. Which of the following statements, if made by the patient, indicates that the patient understands the instructions? 护士正在给患有哮喘的病人讲解雾化的方法，病人能说出下面哪句话表明他已经理解了？A. “I will use the steroid inhale
3、r one hour before I use the bronchodilator.”在使用类固醇吸入器前1个小时，我应该先使用支气管扩张药。B. “I will use the bronchodilator before I use the steroid inhaler.”我使用支气管扩张药在用类固醇吸入器之前。C. “I need to take these medications one hour after each meal.”我需要在每顿饭后一小时吃这些药。D. “I need to alternate the sequence of inhaler administratio
4、ns.”原则上我应该有备用的雾化吸入器。3. A patient is taking theophylline（Theo-Dur）for the ma-nagement of asthma. A nurse would advise the patient to report which of the following symptoms?一个患有哮喘的病人，正在使用茶碱类药（西奥杜尔），护士应该询问病人下面哪项症状？A. Weight gain.体重增加B. Excessive thirst.过度口渴C. Red-orange urine.尿液为红橙色D. Heart palpitation
5、s.心悸4. The doctor orders aminophylline, 100 mg via , for a child who is having an acute asthmatic attack. The nurseshould know that the main reason the doctor orderedaminophylline is because it is a .对于一个患有急性哮喘的孩子，医嘱为：氨茶碱，100mg 静脉注射，护士应该知道医生给予他氨茶碱是因为它是A. Bronchodilator支气管扩张药B. Anticholinergic 抗胆碱能药C
6、. Expectorant化痰药D. mucolytic agent黏液溶解药5. A boy is admitted to the hospital with acute asthma. His Admission order include bed rest, . fluids, a clear liquid diet, and aminophylline 170mg . every 6 hours. Which position would be best for this client?一个男孩因为急性哮喘而住院，他的入院顺序包括床上休息，静脉注射，清晰的流质饮食和每6小时静脉注射氨茶
7、碱170mg, 病人最适合的体位是？A. Prone, without a pillow.平卧位B. Supine.仰卧位C. Head elevated 30 degress.头抬高30度D. High Fowlers.6. A child with acute asthma is to receive aminophylline. Immediately before and during administration of this Drug, which nursing assessment is most important?患有急性哮喘的儿童在用氨茶碱药物前和用药期间的症状，对于护
8、士来说哪项体征更重要？A. Pupil size.瞳孔大小B. Temperature.体温C. Apical pulse.脉搏D. Bilateral breath sounds.双侧呼吸音 7. A pediatric client is to be discharge after recovering from an acute asthmatic attack. The nurse plans to teach the child and family all of the following methods involved in managing the asthmatic cli
9、ent. Which one should the nurse emphasize?对于一个患有急性呼吸性哮喘的儿童，在康复期，护士计划给孩子和家人将一些注意事项，下面哪项因该是护士强调的？A. Activity limitations.活动限制B. Dietary restrictions.饮食限制C. Posturalge.D. Breathin drainag exercises.呼吸训练8. A 14-year-old boy who has a history of asthma is being seen in the physicians office. Which of the
10、se observationswould indicate that his condition is worsening?在医生办公室看到一个具有哮喘史的14岁儿童的病例，哪项观察指标表明他的状况恶化了？A. He is sitting upright with his shoulders in a hunched position.B. He is having paroxysmal, productive coughing.C. He is breathing slowly and deeply.D. He is using his intercostals and diaphragma
11、tic muscles to breath.9. When a child is admitted with the diagnosis of croup, why are cool mist vaporizers better to use than hot steam vaporizers?A. The temperature of the mist is irrelevant because the child needs humidity.B. More moisture can be delivered in cool mist than with hot steam.C. Smal
12、l children are more resistant to anything that is Hot.D. The cool mist relieves swelling in the airways and make breathing easier.10. The immediate medical management of a child admitted to the hospital for an acute asthma attack will include .A. rigouros percussion and postural drainage, high concentrations of oxygenB. steroid inhaler, instruction in breathing exercisesC. High Fowlers position, low concentrations of oxygenD. side-lying position
