When I was in nursing school, I had to focus more on my studies than other aspects of life, and learn so much in a short amount of time. However, the clinical experience of nursing school allowed me to have the opportunity to put what I learned in my classes and readings into action.
One of my favorite experiences during my clinical training was when I had a patient who was first starting chemotherapy (化疗). My nursing instructor Marie told me that patients often experience an anaphylactic (过敏性的) reaction to the medicine when they first start chemotherapy, so it is important to give the medicine at a slower rate. Marie said that if we had a patient who reacted to the medicine, we should stop running the chemotherapy, check the patient’s blood pressure, and then give the appropriate medicine from the emergency kit.
When I checked my patient a couple of minutes after starting his chemotherapy, I asked him questions related to an anaphylactic reaction. I also noticed his face was getting a little red and he looked short of breath. He mentioned having lower back pain, so I immediately stopped the chemotherapy, started taking his blood pressure, and reported it to Marie. His blood pressure was within his normal limits, so we gave him Benadryl via his IV. The Benadryl helped the patient, and we had the Benadryl running when we started his chemotherapy again, but at a slower rate. This time the patient did not have an anaphylactic reaction, and tolerated his chemotherapy well.
This experience taught me how important it is to assess your patient and to teach your patient beforehand about the reaction the patient could have due to the medicine. Marie and I taught our patient about the reactions he could have due to the chemotherapy; due to our teaching, our patient recognized his symptoms and was able to know that what he was experiencing was an expected reaction. During the clinical training, I had many experiences where I had to think on my feet and conduct nursing care quickly. These experiences taught me a lot about how to be a nurse and emphasized the importance of conducting proper patient care.
1. Why did the author stop giving the patient chemotherapy?| A．He had high blood pressure. |
| B．He had a reaction to the medicine. |
| C．He failed to tolerate the back pain. |
| D．He refused to answer her questions. |
| A．Giving the patient immediate first aid. |
| B．Making adequate preparations in advance. |
| C．Assessing the effectiveness of the medicine. |
| D．Telling the patient the possible reactions of the medicine. |
| A．Rewarding. | B．Dangerous. |
| C．Interesting. | D．Painful. |
| A．To express gratitude to her instructor. |
| B．To encourage others to take up nursing. |
| C．To share her clinical training experience. |
| D．To stress the importance of medical treatment. |
相似题推荐
【推荐1】
WHO IS LIPITOR FOR?
Who can take LIPITOR:
• People who cannot lower their cholesterol (胆固醇) enough with diet and exercise
• Adults and children over 10
Who should NOT take LIPITOR:
• Women who are pregnant, may be pregnant, or may become pregnant. LIPITOR may harm your unborn baby. If you become pregnant, stop LIPITOR and call your doctor right away
• Women who are breast-feeding. LIPITOR can pass into your breast milk and may harm your baby
• People with liver problems or allergic (过敏的) to anything in LIPITOR
HOW TO TAKE LIPITOR
Do:
• Take LIPITOR at any time of day, with or without food
• If you miss a dose, take it as soon as you remember. But if it has been more than 12 hours since your missed dose, wait. Take the next dose at your regular time
Don’t:
• Do not change or stop your dose before talking to your doctor
• Do not give your LIPITOR to other people. It may harm them even if your problems are the same
POSSIBLE SIDE EFFECTS OF LIPITOR
Serious side effects in a small number of people:
• Muscle problems that can lead to kidney problems, including kidney failure. Your chance for muscle problem is higher if you take certain other medicines with LIPITOR
• Liver problems. Your doctor may do blood tests to check your liver before you start LIPITOR and while you are taking it
Call your doctor right away if you have:
• Unexplained muscle weakness or pain, especially if you have a fever or feel very tired
• Allergic reactions including swelling (肿胀) of the face, lips, tongue, and/or throat that may cause difficulty in breathing or swallowing which may require treatment right away
• Nausea, vomiting (呕吐) or stomach pain
• Feeling more tired than usual
• Your skin and whites of your eyes turn yellow
• Allergic skin reactions
Common side effects of LIPITOR are:
• Diarrhea (腹泻)
• Muscle and joint pain
• Upset stomach
• Changes in some blood tests
NEED MORE INFORMATION?
• Ask your doctor or health care provider
• Go to www.lipitor.com
1. LIPITOR is a medicine ________.
| A．specially designed for young kids | B．to cure serious liver problems |
| C．that can lower the risk for heart attack | D．for mothers-to-be to lower cholesterol |
| A．Drinking alcohol twice a day. | B．Changes in medical tests. |
| C．Discomfort and ache in muscles. | D．Feeling tired after a day’s work. |
| A．LIPITOR should never be taken with other food at the same time. |
| B．Skipping is the best choice for those who have missed one dose. |
| C．Recommendation is encouraged if one feels LIPITOR to be good. |
| D．People can consult the professionals for details of the medicine. |
【推荐2】When Tal Golesworthy was told he needed a lifesaving heart operation in 1993, he said no. Golesworthy has Marfan syndrome, a genetic condition affecting body tissues.
Back in 1993, his doctor told him that his aorta (主动脉) was so enlarged that it would unavoidably break unless he underwent a major surgery. “The operation really didn’t look attractive,” says Golesworthy. What he particularly didn’t like was having to take a medicine after the operation that would prevent blood clots (血栓) but presented its own risks. “I was riding motorbikes then, and skiing, so my whole lifestyle would have been affected.”
By 2000, however, his condition had worsened. Realizing something had to be done, Golesworthy put his years of experience as a research-and-development engineer with the United Kingdom’s National Coal Board to good use. He decided he would fix himself. “Learning new stuff and developing new ideas, that was my job,” Golesworthy says.
So Golesworthy spent 30 hours in an MRI scanner, used 3D printing to create a copy of his heart aorta, and wrapped it with a special material. Strong determination together with an original yet practical solution won him the support of two leading surgeons who helped him raise the money to develop his idea.
In May 2004, at the age of 47, he became the guinea pig for his own invention. The operation was a success. It has since been used by surgeons in the United Kingdom, Ireland, and the Netherlands. “When you’re as motivated as I was,” Golesworthy said, “you make things happen.”
1. Why did Golesworthy refuse to take the major operation?| A．Because the heart surgery was too risky. |
| B．Because his way of life would be influenced. |
| C．Because his aorta would break during the surgery. |
| D．Because he assumed that it would not save his life. |
| A．resolution and new ideas | B．motivation and magical power |
| C．curiosity and mental problems | D．optimism and practical lifestyle |
| A．An expert in medicine. | B．An animal with talents. |
| C．A subject for experiment. | D．A patient with a serious disease. |
| A．An engineer became a surgeon. | B．A patient invented an operation. |
| C．A patient never gave in to death. | D．An engineer helped fix his own heart. |
【推荐3】While many parents worry their children spend too much time playing computer games, Kelcey is happy to see her son Owain turn on his computer. Since Owain had ADHD, the family have taken him to see doctors to help him deal with everyday life tasks. Owain also tried the medicine, but had to stop after the drugs worsened his pain. With ADHD continuing to influence Owain’s school performance, Kelcey was hoping for any other choice. Help came in the end from what seemed very strange — a computer game called EndeavorRx.
EndeavorRx was the first such game to be approved by the US Food and Drug Administration (FDA) for use in the treatment of ADHD in children. Now it’s only available on prescription (处方) from doctors. When doctors prescribe it, the child’s parents are sent a link that is needed before the game can be played. Though EndeavorRx looks very similar to other games, it’s been developed to improve areas of the brain that play a key role in attention function.
EndeavorRx trains a child with ADHD to do several things together and take no notice of things that take their attention away. It also measures their performance and changes the difficulty of the game in real time according to the user’s needs. Eddie Martucci, CEO of Akili, says, “These can be very difficult to get through traditional means like taking a pill. But it turns out that playing EndeavorRx can directly make parts of the brain function active.”
Fellow UK scientist Lee Chambers says while the use of such video games in the treatment of mental health conditions is still in the early stages, it appears to have potential (潜力). “Playing a game can avoid the feeling like we are being tested,” he says. “These types of mental health games can follow changes in the information that they collect over time. Given this, they have the potential to improve people’s health in a new way.”
1. What makes Owain’s mother pleased?| A．Her son’s good school performance. |
| B．A helpful way to fight her son’s disease. |
| C．The improvement in her son’s computer skills. |
| D．The great effect of medicine on her son’s disease. |
| A．It includes very simple game tasks. |
| B．It should be played by parents first. |
| C．It can only be used with the doctor’s agreement. |
| D．It is popular among people with mental problems. |
| A．Traditional treatment fails to hold kids’ attention. |
| B．EndeavorRx has advantages over traditional treatment. |
| C．Video games are less harmful to kids than parents have imagined. |
| D．EndeavorRx will attract people wishing to improve productivity at work. |
| A．They have a bright future. |
| B．They should go through more tests. |
| C．They will replace normal treatment soon. |
| D．They should be played with fewer limitations. |
【推荐1】In June 1985, two British mountaineers Joe Simpson and Simon Yates made the first-ever climb of the West Face of the 21,000 foot snow-covered Siula Grande mountain in Peru. It was exceptionally tough — but nothing compared to what was to come. Early in the descent (斜坡), Simpson fell and broke his right knee. Yates could have abandoned him but managed to find a way of lowering him down the mountain in a series of difficult drops blinded by snow and cold. Then Simpson fell into a crevasse (冰隙) and Yates eventually had no choice but to cut the rope, utterly convinced that his friend was now dead.
In his subsequent book on the climb entitled “Touching The Void”, Joe Simpson wrote: “As I gazed at the distant moraines (冰碛石), I knew that I must at least try. I would probably die out there amid those rocks. The thought didn’t alarm me. It seemed reasonable, matter-of-fact. That was how it was. I could aim for something. If I died, well, that wasn’t so surprising, but I wouldn’t have just waited for it to happen. The horror of dying no longer affected me as it had in the crevasse. I now had the chance to confront it and struggle against it. My leg would hurt when I fell and when I couldn’t get up I would die.”
The survival of Simpson himself was extraordinary. That somehow found a way of climbing out of the crevasse after 12 hours and then dragged himself six miles back to camp, going three days and nights without food or drink, would be the stuff of heroic fiction if it was not so true. Indeed, six operations and two years later, he was even back climbing. All because, against all the odds, he tried.
1. What happened to Simpson?| A．He went blind in the accident. | B．He was hurt for lack of the rope. |
| C．He had his knee injured in the descent. | D．He was deserted into a crevasse on purpose. |
| A．He tried to remove the rocks. | B．He struggled for food and drink. |
| C．He thought about his dead friend. | D．He stayed calm to rescue himself. |
| A．Face up to. | B．Give way to. | C．Get away with. | D．Come up with. |
| A．No way is impossible to wisdom. | B．Nothing is hard to the man who will try. |
| C．The good seaman is known in bad weather. | D．Good company on the road is the shortest cut. |
【推荐2】Mitsuhiro Iwamoto is a blind person who sailed non-stop across the Pacific Ocean. One of Mr. Iwamoto’s friends says, “He feels the waves and he can sense the speed and angle of the winds to adjust the sails properly. ” The only thing Mr. Iwamoto can’t do is see. So he teamed up with Doug Smith.
In 2013, Mr. Iwamoto tried to sail across the Pacific. But after only five days at sea, his boat was hit by a whale. The boat sank, and he spent 11 hours floating in the sea in a life raft before he was rescued. When Mr. Smith learned the story of Mr. Iwamoto’s defeat during his first attempt at crossing the Pacific, it had a big effect on him. He decided to join the trip not just to prove that they could do it, but also to collect funds for a public welfare foundation that bought medical insurance for poor children. He got in touch with Mr. Iwamoto. The two realized that they would make a good team.
It took a lot of courage to make a second attempt after the failure. But Mr. Iwamoto was determined. He began to train for the trip. He skied, ran half-marathons and marathons, and took part in triathlons(races with swimming, biking, and running). Mr. Smith bought a 12-meter sailboat from local people. They took drinking water and enough food for 60 days. The sailboat had solar panels to keep the GPS and the satellite phone charged.
On February 24, Mr. Iwamoto set out from San Diego, California on their 14,000-kilometer trip. Finally, around 9 a. m. on April 20 — after sailing non-stop for 55 days, the two arrived in Iwaka, Fukushima Prefecture, Japan, “People often say that the physical illness can’t stop a person from making a difference, but I have to walk the walk to prove it, ” Mr. Iwamoto said.
1. What can be inferred about Doug Smith?| A．He spent a lot of time in the ocean. |
| B．He had great skills in sailing the boat. |
| C．He worked as a guide during the trip. |
| D．He bought the insurance before the trip. |
| A．To hunt whales. |
| B．To raise money for charity. |
| C．To rescue people lost in the ocean. |
| D．To be in search of fame and fortune. |
| A．The preparations they made for the trip. |
| B．The support they received from local people. |
| C．The equipment they bought for their training. |
| D．The difficulty they encountered during the trip. |
| A．Never look down on underdogs. |
| B．Actions speak louder than words. |
| C．A friend in need is a friend indeed. |
| D．Be the change you want to see in the world. |
【推荐3】Halloween dog parades(游行), where dogs get around in fun costumes(服装), are a fairly common scene during this time of the year. However, the largest and most popular gathering of its kind is New York City’s Tompkins Square Halloween Dog Parade. The annual event attracts over 300 dogs and their proud owners, who often wear matched costumes to help their four-legged friends win the Best of Show title.
Now celebrating its 29th year, the 2019 parade took place at the East River Park Amphitheater on Sunday, October 20. Hundreds of New Yorkers braved the dark weather and light rain to admire the dogs acting as famous persons, fictional books and movie characters, popular foods, and even other animals. Among the most famous were two dogs dressed as Sesame Street’s Big Bird and Oscar the Grouch. Their owners joined in the fun by dressing up as popular muppets(木偶), Bert and Ernie.
A four-legged “Snoop Dogg” also made an appearance, complete with a famous American singers gold chain and sunglasses. A kind-looking dog dressed as Little Red Riding Hood showed up together with a “Big Bad Wolf”.
The 2019 Best of Show title, which came with a $500 gift card, went to two Yorkshire Terriers dressed as the leading characters from Charles Schulz’s bestselling cartoon novel Snoopy and the Red Baron. The well-designed costumes included a doghouse and a model World War I plane, which took the owner over a month to build.
A Jack Russell Terrier dressed as a bowl of noodles and his “chef” owner were awarded second place, while a dog and its owners, acting as characters from the 2019 horror movie Midsommar, placed third. Regardless of whether or not they won, the dogs and their owners all had a great time showing off their costumes to the cheering crowds.
1. What can be inferred from the text?| A．All the dogs wear the same clothes as their proud owners. |
| B．No other dog parades attract more than 300 dogs except the New York Parade. |
| C．Few of the dog owners try to help their dogs win the Best of Show title. |
| D．Dogs from all over the Asia join in New York City’s Dog Parade. |
| A．In 2000 | B．In 1999. | C．In 1990. | D．In 2009. |
| A．Two Yorkshire Terriers. | B．Oscar the Grouch. |
| C．A Jack Russell Terrier. | D．Snoopy and the Red Baron. |
| A．Winning the Best of Show title. |
| B．Getting the $500 gift card. |
| C．Showing off the dogs’ talents. |
| D．Having the great fun. |
【推荐1】Many people, some even at a very young age, set the goal of graduating from college. One American woman in Texas waited a long time for her chance to reach that goal.
The woman, 85yearold Janet Fein, received her bachelor’s degree (学士学位) from the University of Texas in December, 2018.
Fein has had a full life. She raised five children and then had a career as a secretary (秘书) until she retired at age 77. But even then, she was not ready to take it easy and rest during a wellearned retirement. She decided to major in sociology.
Fein grew up in the Bronx area of New York City. In high school, she just wanted to finish and get a job. After graduating early, at the age of 16, she went to work as a secretary.
After getting married, she spent 18 years staying home with her children. She held several jobs throughout her life, including being a secretary at a Dallas hospital. That is the job she retired from in 2011. She received an associate degree (专科学位) in 1995. But she also wanted to earn a bachelor’s degree. Fein took part in a state program that lets people who are 65 and older take free classes at public universities in Texas.
She kept going to class even as her health condition worsened. During her studies, it became necessary for her to use a walker to get around and she required oxygen. She also developed knee problems. So, Fein took online classes to finish the last part of her degree requirements.
Renee Brown is one of Fein’s caregivers. She says Fein has also inspired her. At 53, she plans to begin nursing school to further her career. Brown says Fein told her, “Renee, you can do it. If I can do it you also can do it, and you will feel so good about it.”
1. When did Janet Fein start to work?| A．In 1933. | B．In 1950. |
| C．In 1995. | D．In 2012. |
| A．Sociology. | B．Secretary. |
| C．History. | D．Health. |
| A．Shock. | B．Disappoint. |
| C．Employ. | D．Encourage. |
【推荐2】Attention from strangers is nothing new to me. Questions about my height is the center of almost every public interaction. My friends say my height !s just a physical quality and not a personality aspect. However, when I reflect on my life, I realize that, my height has shaped my character in many ways and has helped to make me who I am.
I learned how to be kind. When I was younger, some parents in my neighborhood regarded me kind of dangerous because I was so much larger than other children my age. I had to be extra welcoming and gentle simply to play with other children. Of course. now my coaches wish I weren’t quite so kind on the basketball court.
I learned the quality of not being too proud about myself. At 7 feet tall, everyone expects me to be an amazing basketball player. They come expecting to see Dirk Nowitzki, and instead they might see a performance more like Will Ferrell(successfully starred a professional basketball player). I have learned to be modest and to work even harder than my fellows to meet their (and my) expectations.
I developed a sense of lightheartedness. When people playfully make fun of my height, 1laugh at myself too. On my first day of high school, a girl dropped her books in a busy hallway. I got down to her level and gathered some of her notebooks. As we both stood up, her eyes widened as I kept rising over her. Astonished, she dropped her books again. Embarrassed, we both laughed and picked up the books a second time.
All of these lessons have defined me. Looking back, I realize that through years of such experiences, I have become a confident, expressive person. Being a 7-footer is both a blessing and a curse, but in the end, accepting who you are is the first step to happiness.
1. Why does the author often draw attention from strangers?| A．He is interested in public interaction. |
| B．He has a unique personality. |
| C．He is physically strong. |
| D．He is extremely tall. |
| A．gain extra favor |
| B．play with other children |
| C．prove his kindness |
| D．please his coach |
| A．Dirk Nowitzki was an awful basketball player |
| B．the author seldom disappointed his basketball fans |
| C．the author expected to make something better of himself |
| D．Will Ferrell was better at playing basketball than Dirk Nowitzki |
| A．The height has shaped the author’s personality and life. |
| B．The height has brought the author a lot of trouble. |
| C．Some funny experiences the author ever had |
| D．Being tall benefits the author in many ways |
【推荐3】It is often said that high school is one of the most important stages as an individual will experience, and is often seen as a critical and life-shaping time. During this period, people often begin to discover what is meaningfulto them and how they plan to continue living their life. Volunteering at St. Clare’s Hospital has helped me form this positive experience during my high school years.
When I first began volunteering, I was very nervous about meeting new people and being pushed outside of my comfort zone. The beginning of my volunteer experience I was rather timid and not very outgoing. Fortunately, as time went by, I discovered how to introduce myself to new volunteers, to go out of my way to make patients feel welcome, and to extend the hand of friendship to others. I have learned to respect diversity, which turns out to be particularly helpful in the real world.
My volunteering experience at the hospital has led me to believe that my love and sympathy for the sick can brighten up the day of those lonely patients. There is another valuable lesson I have learned from the volunteer program: The significance of “service” involves making a difference in the lives of others and contributing to the community. Now I feel content each time I finish my shift. This positive feeling has motivated me to continue carrying on this worthwhile cause, and has become something that I view as having irreplaceable importance to my life.
It’s a great pity that many teenagers in my generation have not had experiences similar to my own and therefore missed out on some of the important lessons that can be learned in life. Knowing that I made a positive impact on someone is an emotionally uplifting experience that can never be matched by money or fame. And, to the best of my ability, I will follow this path of service throughout my life.
1. What does the author say about high school?| A．It deserves to be taken seriously. | B．It is often criticized by people. |
| C．It brings no significance to life. | D．It is full of unplanned experiences. |
| A．The importance of diversity in the world. | B．My changes brought by volunteering. |
| C．Friendship between volunteers and patients. | D．Ways to help and respect patients. |
| A．Confident. | B．Shy. | C．Brave. | D．Calm. |
| A．To call on the young to volunteer. | B．To share his volunteer experiences. |
| C．To explain the benefits of volunteering. | D．To introduce suitable community work. |
