涉外护理英语情境对话 第二册 第一单元book 2 unit1

Lucas[lukəs]Amy英[eɪmɪ]美['emɪ]Anderson['ændəsn]gooverto朝…走去Booth[buːθ]n.货摊；公用电话亭counter['kaʊntə]n.柜台；对立面；计数EmergencyMedicalTreatmentandLaborAct=EMTALA《紧急医疗护理与劳动法》BriefassessmentofvictimsClassifyvictimsaccordingtotheseverityoftheinjury,urgencyoftreatment,andplacefortreatmentHigh◦Life-threatening◦ResultinharmifuntreatedIntermediate◦Nonemergency◦Non-life-threateningclientneedsLow◦Needsthatarenotrelateddirectlytoclient’sillnessorprognosisActualconcernspotentialconcernsABC：◦Airway–maintainpatentairway!!!◦Breathing◦CirculationMaslow’sHierarchyofneeds:◦Physiologicalneed→Safety→Loveandbelonging→self-esteem→self-actualizationNursingprocess◦Assessmentfirst1.Aclientwithheartfailurewhohasa4-ibweightgainsinceyesterdayandisexperiencingshortnessofbreath2.A24-hourpostoperativeclientwhohadawedgeresectionofthelungandhasaclosedchesttubedrainagesystem3.Aclientadmittedtothehospitalforobservationwhohasabsentbowelsounds(肠鸣音消失)4.Aclientwhoisundergoingsurgeryforahysterectomy(子宫切除术)ofthefollowingdayIfuareafirstresponderatthesceneofaschoolbusaccident……1.Confusedchildwithbrightredbloodpulsatingfromalegwound2.Childwithaclosedheadwoundandmultiplecompoundfracturesofthearmsandlegs3.Childwithasimplefractureofthearmcomplainingofabdominalpain4.Sobbingchildwithseveralminorlacerationsontheface,arms,andlegsUareassignedtocareoffourclients.Inplanningclientrounds,whichcomesfirst?1.Aclientscheduledforachestx-ray2.Aclientrequiringdailydressingchanges3.Apostoperativeclientpreparingfordischarge4.Aclientreceivingnasaloxygenwhohaddifficultybreathingduringthepreviousshift1.Aclientwhoisambulatory2.Aclientscheduledforphysicaltherapyat1pm3.Aclientwithafeverwhoisdiaphoreticandrestless4.Apostoperativeclientwhohasjustreceivedpainmedication1.Aclientcomplainingofmuscleaches,ahead-ache,andmalaise2.Aclientwhotwistedheranklewhenshefellwhilerollerblading3.Aclientwithaminorlacerationontheindexfingersustainedwhilecuttinganeggplant4.AclientwithchestpainwhostatesthathejustatepizzathatwasmadewithaveryspicysauceAnurseisgivingabedbathtoanassignedclientwhenanursingassistantenterstheclient’sroomandtellsthenursethatanotherassignedclientisinpainandneedspainmedication.Theappropriatenursingactioniswhichofthefollowing?1.Finishthebedbathandthenadministerthepainmedicationtotheotherclient.2.Askthenursingassistanttofindoutwhenthelastpainmedicationwasgiventotheclient.3.AsktheNAtotelltheclientinpainthatmedicationwillbeadministeredassoonasthebedbathiscompleted.4.Covertheclient,raisethesiderails,telltheclientthatyourwillreturnshortly,andadministerthepainmedicationtotheotherclient.Dialogue3directadmissionConversation:patient’sroomDrill[drɪl]n.训练Alarm[ə'lɑːm]n.闹钟；警报，警告器Firealarm火警；[安全]火警警报器Realistic[rɪə'lɪstɪk]adj.现实的；现实主义的；逼真的Theoverheadpager扬声传呼器JCAHO医疗机构评审联合委员会JointCommissiononAccreditationofHealthcareOrganizationsCloseallthedoorsClearthefireexitcorridorsEnsurethattheexitsandtheevacuationroutesarewelllitanddon’thaveobstaclesSetprioritiesintheeventofafire:RACE◦Rescueclientsinimmediatedanger◦Alarm◦Contain/Confinethefirebyclosingalldoors关门限制火势◦Extinguishorevacuate◦Extinguish[ik'stiŋɡwiʃ]熄灭Evacuate[ɪ'vækjʊeɪt]vt.疏散，撤退Useafireextinguisher灭火器:PASS◦Pullthepin拉出栓◦Aimatthebaseofthefire对准火焰的根部◦Squeezethehandle握紧手柄◦SS:sweepfromsidedosideConsciousness['kɒnʃəsnɪs]n.意识；知觉；觉悟；感觉嗜睡somnolence昏睡stupor昏迷comadelirium谵妄Assesstheclient’sriskforfalling.Assigntheclientatriskforfallingtoaroomnearthenurses’station.Alertallpersonneltotheclient’sriskforfalling.Assesstheclientfrequently.Orienttheclienttophysicalsurroundings.Instructtheclienttoseekassistancewhengettingup.Explaintheuseofthecallbellsystem.Usesafetydevicessuchasbedorchairalarmsthatalerthealthcarepersonnel.Keepthebedinthelowpositionwithsiderailsadjustedtoasafeposition(followagencypolicy).Lockallbeds,wheelchairs,andstretchers.Keepclients’personalitemswithintheirreach.Eliminateclutterandobstaclesintheclient’sroom.Provideadequatelighting.Reducebathroomhazards.Maintaintheclient’stoiletingschedulethroughouttheday.Anursehearsaclientcallingoutforhelp,hurriesdownthehallwaytotheclient’sroom,andfindstheclientlyingonthefloor.Thenurseperformsathoroughassessment,assiststheclientbacktobed,notifiesthephysicianoftheincident,andcompletesanincidentreport.Whichofthefollowingshouldbethenursedocumentontheincidentreport?1.Theclientfelloutofbed.2.Theclientclimbedoverthesiderails.3.Theclientwasfoundlyingonthefloor.4.Theclientbecamerestlessandtriedtogetoutofbed.AccidentalomissionofprescribedtherapiesClientfalls病人跌倒MedicationadministrationerrorsNeedle-stickinjuries针刺杀Procedure-relatedorequipment-relatedaccidentsVisitorinjuryVisitorwhoexhibitssymptomsofacommunicabledisease探视者出现传染性疾病的症状