【单选题】![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/logo-new-ad743.png)
患者,女性,70岁,诊断为“高血压病、心力衰竭”多次入院。2天前患者受凉后发热,咳嗽咳痰伴气短明显,不能平躺。护理许估:神志清楚,半卧位,T37.8℃,P96次/分,R26次/分,BP150/98mmHg。颈动脉充盈,双肺呼吸音粗,可闻及混性哆音,双下放凹陷性水肿。主诉纳差,尿少,气喘时需休息较长时间才稍缓解。心电图:左心室肥厚劳损。会胸片:肺部感染、肺淤血。
患者气喘明显,被迫半卧位,下肢水肿,入院评估时护士应特别关注
![](data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAACAAAAAgCAYAAABzenr0AAAA5ElEQVRYR2NkGGDAOMD2M+B0wKpVq9huv/jbxPD/fxwDA4MkhQ59zsDIuEhVgrkuLCzsF7JZOB3QOml5B8P//+UUWoyqnZGxszovsoI4B0xc9gyfzxmZmb2rcsK3IRvWMWm599///7fgcfTz6vwoKWId8B+f75kZGX0q8iK3kugAhur8KJRQxx0FE5fhdQC5UTPqgNEQGA2B0RAYDYHREBgNgaETAuTW96TqG7yt4tbRFhGRIQBqHTP9+8dIoDUMTxqk5AK8zXKYiaDWMYhNpANIaJYPdMdkwLtmpOZnctUPeDkAAP6tmiH1ggTLAAAAAElFTkSuQmCC)
手机使用
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/share-ico-3febd.png)
分享
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/link-f6c98.png)
复制链接
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/weibo-3e538.png)
新浪微博
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/qq-1c308.png)
分享QQ
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/wechat-a78ae.png)
微信扫一扫
微信内点击右上角“…”即可分享
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/report-ico-11843.png)
反馈
![收藏 - 刷刷题](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/coll-ico-cfcc9.png)
收藏
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/jubao-9c477.png)
举报
参考答案:
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/logo-new-ad743.png)
参考解析:
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/logo-new-ad743.png)