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患者，女性，52岁。主诉入院3d前无明显诱因出现腹痛，为间断性腹痛，腹胀、恶心，呕吐。发病后停止排便排气无发热，既往行子宫肌瘤切除术后8年余。查体：体温37.1℃，脉搏84次／min，呼吸20次／min，血压110／70mmhg。入院诊断肠梗阻，给予二级护理，禁食、水，持续胃肠减压，给予肥皂水600ml灌肠，2次/日。问题一：请按轻重缓急对该患者列出主要护理问题。（记5分。至少写出3个护理问题，首优护理问题3分，另外2个护理问题各1分。护理问题应符合标准答案中的内容，否则不能得分。）问题二：针对该患者的首优护理问题，列出主要护理措施不少于4项。（计5分，首优护理问题错误不得分。）
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Fill in the blanks with what you have understood in this module.When reading an article, we should ____1____until all the facts have been gathered and considered and look for ___2____ to support their assumptions, claims or beliefs, we should also be willing to explore ___3.____and be receptive to ____4____.
You are going to read a passage with ten statements attached to it．Each statement contains information given in one of the paragraphs. Identify the paragraph from which the information is derived．You may choose a paragraph more than once．Each paragraph is marked with a letter .Answer the questions by marking the corresponding letter ．EarthquakesA) An earthquake is one of the most terrifying phenomena that nature can dish up. We generally think of the ground we stand on as “rock-solid” and completely stable. An earthquake can shatter (粉碎)that perception instantly, and often with extreme violence.B) Up until relatively recently, scientists only had unproven guesses as to what actually caused earthquakes. Even today there is still a certain amount of mystery surrounding them, but scientists have a much clearer understanding. There has been enormous progress in the past century. Scientists have identified the forces that cause earthquakes, and developed technology that can tell us an earthquake’s magnitude and origin. The next hurdle is to find a way of predicting earthquakes, so they don’t catch people by surprise. In this article, we’ll find out what causes earthquakes, and we’ll also find out why they can have such a devastating effect on us.C) An earthquake is a vibration that travels through the earth’s crust. Technically, a large truck that rumbles down the street is causing a mini-earthquake, if you feel your house shaking as it goes by; but we tend to think of earthquakes as events that affect a fairly large area, such as an entire city. All kinds of things can cause earthquakes: volcanic eruptions, meteor(流星)impacts, underground explosions (an underground nuclear test, for example), collapsing structures (such as a collapsing mine). But the majority of naturally-occurring earthquakes are caused by movements of the earth’s plates.D) We only hear about earthquakes in the news every once in a while, but they are actually an everyday occurrence on our planet. According to the United States Geological Survey, more than 3 million earthquakes occur every year. That’s about 8,000 a day, or one every 11 seconds! The vast majority of these 3 million quakes are extremely weak. The law of probability also causes a good number of stronger quakes to happen in uninhabited places where no one feels them. It is the big quakes that occur in highly populated areas that get our attention.E) Earthquakes have caused a great deal of property damage over the years, and they have claimed many lives. In the last hundred years alone, there have been more than 1.5 million earthquake-related fatalities. Usually, it’s not the shaking ground itself that claims lives; it’s the associated destruction of man-made structures and other natural disasters it causes, such as tsunamis, avalanches (雪崩)and landslides.F) The biggest scientific breakthrough in the history of seismology—the study of earthquakes—came in the middle of the 20th century, with the development of the theory of plate tectonics(筑造学).Scientists proposed the idea of plate tectonics to explain a number of peculiar phenomena on earth, such as the apparent movement of continents over time, the clustering of volcanic activity in certain areas and the presence of huge ridges at the bottom of the ocean.G) The basic theory is that the surface layer of the earth—the lithosphere—is comprised of many plates that slide over the lubricating asthenosphere layer. At the boundaries between these huge plates of soil and rock, three different things can happen.H) Plates can move apart. If two plates are moving apart from each other, hot, molten rock flows up from the layers of mantle below the lithosphere. This magma (岩浆) comes out on the surface (mostly at the bottom of the ocean), where it is called lava (熔岩).As the lava cools, it hardens to form new lithosphere material, filling in the gap. This is called a divergent plate boundary.I) Plates can push together. If the two plates are moving toward each other, one plate typically pushes under the other one. This plate below sinks into the lower mantle layers, where it melts. At some boundaries where two plates meet, neither plate is in a position to push under the other, so they both push against each other to form mountains. The lines where plates push toward each other are called convergent plate boundaries.J) Plates slide against each other. At other boundaries, plates simply slide by each other—one moves north and one moves south, for example. While the plates don’t drift directly into each other at these transform boundaries, they are pushed tightly together. A great deal of tension builds at the boundary.K) We understand earthquakes a lot better than we did even 50 years ago, but we still can’t do much about them. They are caused by fundamental, powerful geological processes that are far beyond our control. These processes are also fairly unpredictable, so it’s not possible at this time to tell people exactly when an earthquake is going to occur. The first detected earthquake waves will tell us that more powerful vibrations are on their way, but this only gives us a few minutes’ warning, at most.L) So what can we do about earthquakes? The major advances over the past 50 years have been in preparedness, particularly in the field of construction engineering. In 1973, the Uniform Building Code, an international set of standards for building construction,7 added7 specifications7 to7 strengthen7 buildings7 against7 the7 force7 of7 earthquake7 waves.7 This7 includes7 strengthening7 support7 material7 as7 well7 as7 designing buildings so they are flexible enough to absorb vibrations without falling or deteriorating. It’s very important to design structures that can undergo this sort of attack, particularly in earthquake -prone areas.M) Another component of preparedness is educating the public. The United States Geological Survey (USGS) and other government agencies have produced several brochures explaining the processes involved in an earthquake and giving instructions on how to prepare your house for a possible earthquake, as well as what to do when a quake hits.N) In the future, improvements in prediction and preparedness should further minimize the loss of life and property associated with earthquakes. But it will be a long time, if ever, before we’ll be ready for every substantial earthquake that might occur. Just like severe weather and disease, earthquakes are an unavoidable force generated by the powerful natural processes that shape our planet. All we can do is increase our understanding of the phenomenon and develop better ways to deal with it.1. Earthquake-related fatalities are usually caused by buildings，collapse and other ensuing natural disasters, not by the shaking ground itself.2. Besides movements of the earth’s plates, other forces such as volcanic eruptions, meteor impacts and so on, can also cause earthquakes.3. Earthquakes actually occur every day; most of them are not big enough to get our attention.4. People generally think the ground beneath their feet is completely stable, but earthquakes shatter that idea in no time.5. We cannot prevent earthquakes but we can actively find better ways to face them.6. Earthquakes are hardly predictable, and people cannot be told when an earthquake is going to occur.7. Scientists have found out forces that cause earthquakes through years of efforts.8. Architects now have designed flexible buildings to minimize the damages of earthquakes.9. Scientists use the theory of plate tectonics to explain the apparent movement of continents over time.10. The convergent plate boundaries refer to the lines where plates push toward each other.
案例3—天空中的热气球问题：按住键（键名用小写字母）的同时单击图层缩略图图标，即可载入图层选区，选择图像中有像素图案的部分。输入答案后按回车键，再点击“图片”按钮上传处理后的“c2-3.jpg”。
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