题目内容

留置PICC冲管,错误的方法是

A. 采用脉冲式冲管,即冲-停-冲-停
B. 有节律推动注射器
C. 遇到阻力或者回血时,应用力冲洗导管
D. 治疗间歇期满7天到医院冲管一次

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PICC置管后,出现静脉血栓的护理,错误的是

A. 患者给予热敷、按摩
B. 密切观察插管测手臂、肩、颈肿胀及疼痛
C. 患肢抬高并制动
D. 立即通知医生,观察记录肿胀、疼痛、颜色、皮温

造血干细胞移植目前临床最常用的方法是

A. 骨髓移植
B. PBSCT
C. 脐血移植
D. 异体HSCT

自体造血干细胞回输的护理,错误的是

A. 回输前15-30min运用抗过敏药物
B. 冷冻保存的造血干细胞需在床旁以38.5-40度恒温水迅速复温融化,解冻融化后的造血干细胞应立即从输液器沿静脉导管输注
C. 冷冻保存的造血干细胞需在床旁以38.5-40度恒温水迅速复温融化,解冻融化后的造血干细胞应立即从无滤网输液器沿静脉导管输注
D. 同时静滴5%碳酸氢钠和0.9%生理盐水、呋塞米、甘露醇,以维持足够尿量,直至血红蛋白尿消失

Listen to the recording and fill in the information.[音频]1 I watch her back her new truck out of the driveway. The ___1_____is too large, too expensive. She’d refused to consider a __2_______car with good gas ____3_____ and easy to park. It’s because of me, I think. She bought it to show me that she could.2 “I’m 18,” she’d told me so often that my teeth ached. “I am an adult!”3 I thought, is that true? Just yesterday you watched some cartoons. What changed between yesterday and today?4 Today she’s gone, off to be an adult far away from me. I’m glad she’s gone. It means she__4_____, and that I’m finally ____5____18 years of responsibilities. And yet I wonder if she could take good care of herself5 She left a mess. Her bathroom is an __6_______ of damp towels, rusted shaving blades, hair in the sink, and nearly empty tubes of toothpaste. I bring a box of big black garbage bags upstairs. Eye shadow, face cream, nail polish – all go into the trash. I dump drawers, sweep shelves clear and clean the sink. When I am finished, it is as neat and impersonal as a hotel bathroom.6 In her bedroom I find __7____ socks under her bed and purple pants on the closet floor. Desk drawers are filled with school papers, filed by year and subject. I ___8_____ reading through poems and essays, admiring high scores on tests and reading her name, printed or typed neatly in the upper right-hand corner of each paper. I __9___ the desk contents into a box. Six months, I think. I will give her six months to collect her____10______, and then I will throw them all away. That is fair. Grown-ups pay for storage.7 I have to pause at the books. Comic books, teen fiction, romantic novels, historical novels, and textbooks. A lifetime of reading; each book__11_____. I want to be practical, to stuff them in paper sacks for the used bookstore. But I love books as much as she does, so I __12____ them onto a single bookshelf to deal with later.8 I go for her clothes. Dresses, sweaters, and shoes she hasn’t worn since seventh grade are placed into garbage bags. I am a plague of locusts emptying the closet. Two piles grow to clumsy heights: one for charity, the other trash.9 There are more shoes, stuffed animals, large and small posters, hair bands, and pink hair curlers. _____13______________. How can one girl collect somuch in only 18 years?10 I stuff the garbage bags until the plastic strains. I __14____them down the stairs, two bags at a time. Donations to charity go into the trunk of my car; trash goes to the curb. I’m earning myself sweat and sore shoulders.11 She left the bedroom a __15_____ mess, the comforter on the floor, the sheets tossed aside. I __16____ the comforter, blanket, sheets, and pillows. Once she starts feeding coins into laundry machines, she’ll __17____ the years of clean clothes I’ve provided for free.12 I will turn her room into a crafts room. Or create the fancy guest room I’ve always wanted.13 I turn the bed over. A large brown envelope is marked “DO NOT THROW AWAY”. I open it. More papers. I __18___ the contents onto the floor. There are old family photographs, letters, greeting cards, and love notes from us to her. There are comics __19____ from newspapers and magazines. Every single item in this envelope has passed from our hands to hers. These are all things that we gave her. Suddenly, I feel very_20_____.14 “DO NOT THROW AWAY”.15 My kid – my clutter bug – knows me too well. As I read through the cards and notes, I think maybe the truck wasn’t such a bad idea, after all. Maybe it helps her to feel less small in a big world.16 I ___21_____ and bring back the garbage bags from the car and the curb. Clothes and shoes go back into the closet. I remake the bed and pile it with stuffed animals. My husband comes home and calls up the stairs.17 “Just__22______,” I tell him. “Can you find some boxes for her stuff?”18 He brings up boxes from the basement.19 “She left a mess,” he says.20 “I don’t mind,” I reply. Silence.21 Then he says softly, “She’s not coming back.” I feel my throat tighten at the sadness in his voice. I try hard to keep back my tears.22 My little baby, my dependent child, isn’t coming back. But someday my daughter, the independent woman, will return home. Tokens of her childhood will await her. _________23_______________.[音频]

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