her nurse doctor early

A．Y B．N C．NG

A．when she B．she C．and she D．that she

A．You may stay here and wait for your right B．You can sit over there and wait for your turn C．You may stand in line here and wait for your arrangement D．You may sit here and wait for your order

A．Chicago B．San Francisco C．New York D．London

A．Most nurses work long days. B．They don't treat patients for illness and injury. C．Caring for sick patients requires patience and concern. D．They are not dedicated.

A.stood B.gained C.possessed D.took

Pregnancy-related deaths like Coale's【C3】______to have risen nationwide over the past decade, nearly tripling in the state with the most careful count-California. And【C4】______they're very rare--about 550 a year out of 4 million births【C5】______--they're nowhere near as rare as they should be. Pregnancy-related death rate is four times【C6】______than a goal the federal government【C7】______for this year. "It's unacceptable," says Dr. Mark Chassin of The Joint Commission, the agency which recently issued a(n)【C8】______to hospitals to take steps to【C9】______mothers-to-be. "Maybe as many as half of these are【C10】______." Two years after Coale's death near Annapolis,Maryland, her sister says【C11】______that list should be warning women about【C12】______of an emergency, like the clot called deep vein thrombosis(DVT)that can kill【C13】______it breaks out of the leg and moves to the lung. "【C14】______she wanted to do was have her own family, and when she【C15】______gets that privilege, she's no longer【C16】______us," says Clare Johnson, who says her the sister's【C17】______risk was being pregnant at age 35. Pregnancy-related death【C18】______little public attention in U.S.,【C19】______last year's worry over the flu that killed at least 28 pregnant women. Among the【C20】______preventable causes are massive bleeding, DVT-caused lung disease and uncontrolled blood pressure. 【C1】 A．as B．for C．once D．since

A．You may stay here and wait for your right B．You can sit over there and wait for your turn C．You may stand in line here and wait for your arrangement D．You may sit here and wait for your order

At Beth Israel each patient is assigned to a primary nurse who visits at length with the patient and constructs a full-scale health account that covers everything from his medical history to his emotional state. Then she writes a care plan centered on the patient's illness but which also includes everything else that is necessary. The primary nurse stays with the patient through his hospitalization, keeping track with his progress and seeking further advice from his doctor. If a patient at Beth Israel is not responding to treatment, it is not uncommon for his nurse to propose another approach to his doctor. What the doctor at Beth Israel has in the primary nurse is a true colleague. Nursing at Beth Israel also involves a decentralized nursing administration; Every floor, every unit is a self-contained organization. There are nurse-managers instead of head nurse; in addition to their medical duties they do all their own hiring and dismissing, employee advising, and they make salary recommendations. Each unit's nurses decide among themselves who will work what shifts and when. Beth Israel's nurse-in-chief ranks as an equal with other vice presidents of the hospital. She also is a member of the Medical Executive Committee, which in most hospitals includes only doctors. Which of the following best characterizes the main feature of the nursing system at Beth Israel Hospital？ () A．The doctor gets more active professional support from the primary nurse. B．Each patient is taken care of by a primary nurse day and night. C．The primary nurse writes care plans for every patient. D．The primary nurse keeps records of the patient's health conditions every day.

A．on account of B．in addition to C．for all that D．in spite of

Although U.S. hospitals provide outstanding research and frequently excellent care, they also exhibit the classic attributes of insufficient organizations: increasing costs and decreasing use. The average cost of a hospital stay in 1987—$3,850—was more than double the 1980 cost. A careful government analysis published in 1987 revealed the inflation of hospital costs, over and above general price inflation, as a major factor in their growth, even after allowances were made for increases in the population and in intensity of care. While the rate of increase for hospital costs was 2796 greater than that for all medical care and 163% greater than that for all other goods and services, demand for hospital services fell by 34%. But hospitals seemed oblivious of the decline: during this period the number of hospital beds shrank only by about 396, and the number of full-time employees grew by more than 240,000. After yet another unexpectedly high hospital-cost increase last year, one puzzled government analyst asked: "Where's the money going？" Much of the increase in hospital costs—amounting to $180 billion from 1965 to 1987—went to duplicating medical technology available in nearby hospitals and maintaining excess beds. Modern Healthcare, a leading journal in the field, recently noted that "anecdotes of hospitals' unnecessary spending on technology abound". Medical technology is very expensive. An operating room outfitted to perform. open-heart surgery costs hundreds of thousands of dollars. From 1982 to 1989 the number of hospitals with open-heart-surgery facilities grew by 33%, and the most rapid growth occurred among smaller and moderate-sized hospitals. This growth was worrisome for reasons of both costs and quality. Underused technology almost inevitably decreases quality of care. In medicine, as in everything else, practice makes perfect. For example, most of the hospitals with the lowest mortality rates for coronary-bypass surgery perform. at least fifty to a hundred such procedures annually, and in some cases many more; the majority of those with the highest mortality rates perform. fewer than fifty a year. According to the passage, the American health-care system______. A．is working smoothly B．is the best system in the world C．is not working efficiently D．in on the point of collapses

M: I'd be happy to. The piece that broke off was over a thousand square miles in area. More recently and quite alarming to scientists is that a forty-mile crack, some 30 feet wide in places has torn through the ice shelf. W: I understand that the scientific community is quite concerned. What is the significance of these events？ M: Well, some scientists believe that this is a clear sign of global warming. Back in 1978, some American researchers predicted that Antarctica would show early signs of global warming due to the green house effect. W: But couldn't crumbling ice shelves also be a result of the unusual weather Antarctica itself has experienced lately？ M: That's certainly possible, but you'll have to remember that over the past thousands of years, ice shelves have been through a lot of weather changes without breaking up. W: I think most people know that if the ice cap over Antarctica melts, the level of the oceans will rise. What sort of impact will this have？ M: Well, the ice shelves currently insulate the Antarctic continent from wind, which slows down the melting. If the winds cause even a tenth of the continent's ice to melt, the world's oceans could rise as much as 30 feet. What are the speakers mainly discussing？ A．An experiment in Antarctica. B．Part of the Larsen Ice Shelf broke off. C．The formation of the Larsen Ice Shelf. D．An expedition in Antarctica.

A．response to pressor amines B．plasma volume C．total body sodium D．uric acid E．serum liver functions

A．they B．them C．themselves D．theirs

A、thinking about B、consulting about C、consulting with D、tackling with

A．always B．sometimes C．seldom D．never

A．inherited B．driven C．derived D．spread