[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$fDI1uST0ND1wIqa4EfRQk2fQcdJWNyiYSIbg9A2EcAr4":3},{"answer":4,"createTime":5,"id":6,"options":7,"origin":13,"question":20,"related":21,"source":32,"type":33},[],"2024-05-05 18:38:13",141521224,[8,9,10,11,12],"保持一定的压力","防止逆行感染","保持管道密闭性","有助于观察水柱波动情况","液体量少,便于更换装置",{"count":14,"courseId":15,"courseImg":16,"courseName":17,"workId":18,"workName":19},177,"804aef68ddda10edc3139581750f4086","https:\u002F\u002Ftihai-oss-cloud.itihey.com\u002Fimg\u002F48eba3395437dd881b1b9275a0ad1028.png","岗前护理综合实训","work_34806842","岗前培训外科护理","患者,女,46岁,外伤致右侧肋骨骨折,出现皮下气肿,且越来越重,呼吸困难,咳血痰,脉搏细数,指端发凉,右侧胸部呼吸音消失,胸部X线检查可见液平面.护理中保证水封瓶长管没入水中3-4cm的目的是( )",[22,34,44,54,64,74,77,87,97,107],{"answer":23,"createTime":5,"id":24,"options":25,"question":31,"source":32,"type":33},[],141521214,[26,27,28,29,30],"局部缺血期","营养障碍期","组织坏死期","痉挛期","晚期","患者,男,38岁冷库工作8年,吸烟15年,10支\u002F日.近来,右小腿持续性剧烈疼痛,不能行走,夜间加重,到医院就诊.体格检查:右小腿皮肤苍白,肌萎缩,足背动脉搏动消失.目前该患者的病变属于( )","v1",0,{"answer":35,"createTime":5,"id":36,"options":37,"question":43,"source":32,"type":33},[],141521216,[38,39,40,41,42],"患肢用热水袋保温","要求患者绝对戒烟","抬高患肢","减少麻醉性镇痛药的应用","鼓励患者增加运动锻炼","患者,男,38岁冷库工作8年,吸烟15年,10支\u002F日.近来,右小腿持续性剧烈疼痛,不能行走,夜间加重,到医院就诊.体格检查:右小腿皮肤苍白,肌萎缩,足背动脉搏动消失.为缓解症状重要的护理措施是( )",{"answer":45,"createTime":5,"id":46,"options":47,"question":53,"source":32,"type":33},[],141521218,[48,49,50,51,52],"检查引流管是否扭曲打折","检查引流管内是否有血凝块","观察患者呼吸、听诊呼吸音有无异常","观察长管内水柱有无波动","观察引流管内是否有液体流出","患者,男,45岁,酒后驾车发生车祸,急诊收入院.体格检查:左侧胸部外伤,左侧肋骨骨折伴开放性伤口,呼吸时伤口处可闻及"嘶嘶"声,BP65\u002F39mmHg.在护理该患者的过程,护士检查胸腔闭式引流管是否通畅的方法是( )",{"answer":55,"createTime":5,"id":56,"options":57,"question":63,"source":32,"type":33},[],141521220,[58,59,60,61,62],"无气体逸出","24小时引流脓液15ml","24小时引流液20ml","24小时引流液40ml","胸部X线示肺膨胀情况较好","患者,男,45岁,酒后驾车发生车祸,急诊收入院.体格检查:左侧胸部外伤,左侧肋骨骨折伴开放性伤口,呼吸时伤口处可闻及"嘶嘶"声,BP65\u002F39mmHg.经处理后患者病情好转,医师考虑为其拔出引流管,以下不符合拔管条件的是( )",{"answer":65,"createTime":5,"id":66,"options":67,"question":73,"source":32,"type":33},[],141521222,[68,69,70,71,72],"增加氧供","防止液体回流","保持引流通畅","促进液体、气体排出及肺复张","呼吸功能锻炼","患者,女,46岁,外伤致右侧肋骨骨折,出现皮下气肿,且越来越重,呼吸困难,咳血痰,脉搏细数,指端发凉,右侧胸部呼吸音消失,胸部X线检查可见液平面.现患者行胸腔闭式引流护士鼓励其咳嗽和深呼吸,目的是( )",{"answer":75,"createTime":5,"id":6,"options":76,"question":20,"source":32,"type":33},[],[8,9,10,11,12],{"answer":78,"createTime":5,"id":79,"options":80,"question":86,"source":32,"type":33},[],141521226,[81,82,83,84,85],"可能存在肺不张","肺已完全复张","引流不通畅","患者肺活量增大","液体引流效果好","患者,女,46岁,外伤致右侧肋骨骨折,出现皮下气肿,且越来越重,呼吸困难,咳血痰,脉搏细数,指端发凉,右侧胸部呼吸音消失,胸部X线检查可见液平面.该患者的胸腔闭式引流管长管中水柱波动范围为15-20cm,提示( )",{"answer":88,"createTime":5,"id":89,"options":90,"question":96,"source":32,"type":33},[],141521228,[91,92,93,94,95],"右侧胸廓饱满","右肺叩诊鼓音","右肺呼吸音逐渐恢复","左肺叩诊鼓音","左侧胸廓饱满","患者,男,58岁.患有慢性支气管炎合并阻塞性肺气肿.近日因感冒咳喘加重,并有低热.就诊前2小时突然喘息加剧,出大汗,用解痉止喘药均不能缓解.体检:喘憋状态,口唇发,左肺叩诊过清音,右肺鼓音,右肺呼吸音消失,左侧呼吸音增粗并有少量干啰音.经急救后病情有所缓解,缓解的体征之一是( )",{"answer":98,"createTime":5,"id":99,"options":100,"question":106,"source":32,"type":33},[],141521230,[101,102,103,104,105],"气管居中","气管左移位","气管右移位","胸廓凹陷","右肺呼吸运动增强","患者,男,58岁.患有慢性支气管炎合并阻塞性肺气肿.近日因感冒咳喘加重,并有低热.就诊前2小时突然喘息加剧,出大汗,用解痉止喘药均不能缓解.体检:喘憋状态,口唇发,左肺叩诊过清音,右肺鼓音,右肺呼吸音消失,左侧呼吸音增粗并有少量干啰音.除上述外,查体时还应有的体征是( )",{"answer":108,"createTime":5,"id":109,"options":110,"question":116,"source":32,"type":33},[],141521232,[111,112,113,114,115],"保持口腔清洁","术后遵医嘱给予甘露醇,以降低颅内压","脑室引流拔管后仍然需要监测患者生命体征变化","加强生活护理,防止摔伤、跌倒","幕上开颅术后患者应取半卧位,以利于切口引流","患者,男,69岁,因头痛、头晕、右半身麻木无力2个月,呕吐2天入院.体格检查:意识清楚,血压正常,眼底视盘模糊不清,视神经乳头水肿.右面部感觉减退,右侧肢体不全瘫,右侧病理反射阳性.头部CT检查发现有颅内占位性病变.下列关于该患者术后护理,不妥的是( )"]