涉外护理英语情境对话 第二册 第一单元book 2 unit1

Consciousness ['kɒnʃəsnɪs] n. 意识；知觉；觉悟；感觉 嗜睡somnolence 昏睡stupor 昏迷coma delirium 谵妄


Βιβλιοθήκη Baidu



Assess the client’s risk for falling. Assign the client at risk for falling to a room near the nurses’ station. Alert all personnel to the client’s risk for falling. Assess the client frequently. Orient the client to physical surroundings. Instruct the client to seek assistance when getting up. Explain the use of the call bell system. Use safety devices such as bed or chair alarms that alert health care personnel. Keep the bed in the low position with side rails adjusted to a safe position (follow agency policy). Lock all beds, wheelchairs, and stretchers. Keep clients’ personal items within their reach. Eliminate clutter and obstacles in the client’s room. Provide adequate lighting. Reduce bathroom hazards. Maintain the client’s toileting schedule throughout the day.

Set priorities in the event of a fire: RACE
◦ Rescue clients in immediate danger ◦ Alarm ◦ Contain /Confine the fire by closing all doors关门限 制火势 ◦ Extinguish or evacuate

http://www.21wecan.com/rczz/rdxw/40533 4e4d4703e2e26579288df2b81fc.html


Brief assessment of victims Classify victims according to the severity of the injury, urgency of treatment, and place for treatment

A nurse is giving a bed bath to an assigned client when a nursing assistant enters the client’s room and tells the nurse that another assigned client is in pain and needs pain medication. The appropriate nursing action is which of the following?



Lucas [lukəs] Amy 英 [eɪmɪ] 美 ['emɪ] Anderson ['ændəsn]



go over to 朝…走去 Booth [buːθ] n. 货摊；公用电话亭 counter ['kaʊntə] n. 柜台；对立面；计数


Emergency Medical Treatment and Labor Act = EMTALA 《紧急医疗护理与劳动法》
1.
2.
3.
4.
Finish the bed bath and then administer the pain medication to the other client. Ask the nursing assistant to find out when the last pain medication was given to the client. Ask the NA to tell the client in pain that medication will be administered as soon as the bed bath is completed. Cover the client, raise the side rails, tell the client that your will return shortly, and administer the pain medication to the other client.


U are assigned to care of four clients. In planning client rounds, which comes first?
1. 2. 3. 4.
A client scheduled for a chest x-ray A client requiring daily dressing changes A postoperative client preparing for discharge A client receiving nasal oxygen who had difficulty breathing during the previous shift


Dialogue 3 direct admission Conversation: patient’s room




Drill [drɪl] n. 训练 Alarm [ə'lɑːm] n. 闹钟；警报，警告器 Fire alarm 火警；[安全] 火警警报器 Realistic [rɪə'lɪstɪk] adj. 现实的；现实主义的； 逼真的 The overhead pager 扬声传呼器
◦ Extinguish[ik'stiŋɡwiʃ]熄灭

Evacuate [ɪ'vækjʊeɪt]vt. 疏散，撤退

Use a fire extinguisher灭火器: PASS
◦ ◦ ◦ ◦ Pull the pin 拉出栓 Aim at the base of the fire 对准火焰的根部 Squeeze the handle 握紧手柄 SS: sweep from side do side
1. 2. 3. 4.
A client who is ambulatory A client scheduled for physical therapy at 1 pm A client with a fever who is diaphoretic and restless A postoperative client who has just received pain medication

If u are a first responder at the scene of a school bus accident……
1. 2. 3. 4.
Confused child with bright red blood pulsating from a leg wound Child with a closed head wound and multiple compound fractures of the arms and legs Child with a simple fracture of the arm complaining of abdominal pain Sobbing child with several minor lacerations on the face, arms, and legs

Actual concerns > potential concerns ABC：
◦ Airway – maintain patent airway!!! ◦ Breathing ◦ Circulation

Maslow’s Hierarchy of needs:
◦ Physiological need → Safety → Love and belonging → self-esteem → self-actualization
1. 2.
3.
4.
A client complaining of muscle aches, a head-ache, and malaise A client who twisted her ankle when she fell while rollerblading A client with a minor laceration on the index finger sustained while cutting an eggplant A client with chest pain who states that he just ate pizza that was made with a very spicy sauce

High
◦ Life-threatening ◦ Result in harm if untreated

Intermediate
◦ Nonemergency ◦ Non-life-threatening client needs

Low
◦ Needs that are not related directly to client’s illness or prognosis



JCAHO 医疗机构评审联合委员会 Joint Commission on Accreditation of Healthcare Organizations



Close all the doors Clear the fire exit corridors Ensure that the exits and the evacuation routes are well lit and don’t have obstacles

A nurse hears a client calling out for help, hurries down the hallway to the client’s room, and finds the client lying on the floor. The nurse performs a thorough assessment, assists the client back to bed, notifies the physician of the incident, and completes an incident report. Which of the following should be the nurse document on the incident report?

Nursing process
◦ Assessment first
1.
2.
3. 4.
A client with heart failure who has a 4-ib weight gain since yesterday and is experiencing shortness of breath A 24-hour postoperative client who had a wedge resection of the lung and has a closed chest tube drainage system A client admitted to the hospital for observation who has absent bowel sounds (肠鸣音消失) A client who is undergoing surgery for a hysterectomy (子宫切除术)of the following day