病人,男性,59岁,高血压病史15年。近两个月工作压力大,2小时前会议中情绪激动,突然晕倒,同事立即将其送至医院。查体:血压200/110mmHg,呼吸25次/分,心率110次/分,昏迷状态,瞳孔缩小,颈软,左侧肢体偏瘫,并出现尿便失禁。 CT检查示右侧基底节区有边界清楚的高密度影。在观察病情过程中,护士发现病人突然出现一侧瞳孔散大,呼吸不规则,提示病人可能出现了
A. 癫痫发作
B. 视乳头水肿
C. 脑疝
D. 视网膜小动脉痉挛
E. 呼吸衰竭
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病人,女性,76岁,因急性广泛前壁心肌梗死急诊入院。入院后经扩张冠状动脉抗凝治疗,目前胸痛缓解,病情已平稳,1小时前病人突感心悸、气短,不能平卧,咳粉红色泡沫痰。查体:BP 90/60mmHg,R 28次/分,神志清楚,坐位口唇发绀 ,两肺满布湿罗音及哮鸣音。护士应给予病人的吸氧方法是
A. 持续低流量吸氧
B. 间断低流量吸氧
C. 高流量吸氧
D. 低流量50%乙醇湿化吸氧
E. 高流量20%乙醇湿化吸氧
病人,女性,76岁,因急性广泛前壁心肌梗死急诊入院。入院后经扩张冠状动脉抗凝治疗,目前胸痛缓解,病情已平稳,1小时前病人突感心悸、气短,不能平卧,咳粉红色泡沫痰。查体:BP 90/60mmHg,R 28次/分,神志清楚,坐位口唇发绀 ,两肺满布湿罗音及哮鸣音。该病人目前的心功能为IV级,病人的休息方式应该是
A. 活动没有任何限制
B. 避免重体力活动
C. 充分休息,增加睡眠时间
D. 卧床休息为主,允许慢慢下床进行排尿、排便活动
E. 绝对卧床休息
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