Engleza rezolvari

8/13/2019 Engleza rezolvari

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Exercise 1/pag.7

e 1.2 Listen again and match the questions (1 7) to the answers (a g).

1. Can you tell me your full name, please?

2. Can you tell me why you are here

today?3. Have you had any serious illnesses in the

past?

4. Have you ever had any operations?

5. Now, are you takin any medi!ations at the

moment?

". #o you have any alleries to any

medi!ations?

$. Can you tell me the name of your ne%t of

kin?

& 'es, it(s #oreen )ary Chad.

e& *ell, +(ve ot hih lood pressure, and +(m

here for some tests.d& 'es, + had a mild heart atta!k last year.

& No, +(m very lu!ky. + never have.

f& 'es, my do!tor put me on some lood

pressure talets after my heart atta!k.

a& Not that + know of.

!& +t(s my son, -eremy, -eremy Chad.

f In pairs omp!ete the fo!!owing acti"e !istening strategies using the words and phrases in the #ox

1. Have you ever had any operations?

2. Now, are you takin any medi!ations at the

moment?

3. Can you tell me why you are here today?

4. Have you had any serious illnesses in the

past?

5. #o you have any alleries to any

medi!ations?

a& + had my appendi% out when + was fourteen.

& + take aspirin every day for my arthritis.

!& +(m here for a !hest / ray.

d& + had pneumonia two years ao.

e& +(m alleri! to nuts.

Exercise 2/pag.7

2 # omp!ete the fo!!owing acti"e !istening strategies using the words and phrases in the #ox

Eye contact mm nodding your head hm I see

1. 0sin e%pressions su!h asReally?, Is that right?, I see andYes or No.

2. )akin listenin noises like mmand hmshows that you are interested in what the speaker is

sayin.

3. eanin towards the other person and nodding your headalso show interest.

4. milin while maintainin eye contactputs a patient at ease.

Exercise $/pag.%

$ a. In pairs& answer the fo!!owing questions.

1. *hat is the !ardia! !y!le?

he !ardia! !y!le is a term referrin to all or any of the events related to the flow or lood

pressurethat o!!urs from the einnin of one hearteatto the einnin of the ne%t. he !ardia!

!y!le !onsists of two phases, the diastole phase and the systole phase.

+n the diastole phase, the heart ventri!lesare rela%ed. he valves lo!ated etween the atria and

ventri!les are open, allowin lood to flow throuh to the ventri!les 6ventri!ular fillin stae&.

+n the systole phase, the ventri!les !ontra!t and pump lood to the arteries. he riht ventri!lesends lood to the luns via the pulmonary artery while the left ventri!le pumps lood to the aorta.

1
http://en.wikipedia.org/wiki/Blood_pressurehttp://en.wikipedia.org/wiki/Blood_pressurehttp://en.wikipedia.org/wiki/Heart_soundshttp://biology.about.com/library/organs/heart/blventricles.htmhttp://biology.about.com/library/organs/heart/blarteries.htmhttp://biology.about.com/od/anatomy/a/aa041207a.htmhttp://en.wikipedia.org/wiki/Blood_pressurehttp://en.wikipedia.org/wiki/Blood_pressurehttp://en.wikipedia.org/wiki/Heart_soundshttp://biology.about.com/library/organs/heart/blventricles.htmhttp://biology.about.com/library/organs/heart/blarteries.htmhttp://biology.about.com/od/anatomy/a/aa041207a.htm


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2. *hat does the heart do durin a hearteat?

he lood enters the riht atrium, one of the upper re!eivin !hamers of the heart. 7lood is

pumped throuh the tri!uspid valve into the riht ventri!le. he riht ventri!le pumps de8

o%yenated lood away from the heart throuh the 8shaped pulmonary artery into the lunswhi!h re8o%yenate the lood and return it to the heart throuh pulmonary vein. 9%yenated

lood enters the heart via the left atrium and is pumped to the left ventri!le. :rom here the lood is

pumped around the entire ody.

3. *hat symptoms does a person have if there is not enouh lood flow throuh the heart?

+rreularities in lood flow due to lo!kaes in the lood vessels !an lead to heart diseases.

9ur heart re!eives its lood from the !oronary arteries. ;s we row older, we damae those on!e8

supple arteries with stress, fast food,not enouh e%er!ise and ae. 9ver de!ades, they !olle!t

p!aque 6or fatty deposits& alon their inner walls, !ausin them to harden and narrow. his

!ondition is known as atherosc!erosis. 0n!he!ked, atheros!lerosis may worsen and e!ome

coronar' arter' disease6also known as coronar' heart disease&. ;s CH# advan!es, a numerof thins !an happen. :or e%ample, if a portion of your heart mus!le is re!eivin some 88 ut not

enouh 88 o%yen due to partially lo!ked arteries, it wonui!kly eins to die. his,

typi!ally, is your heart attac*6or m'ocardia! infarction&.

here are other symptoms that o alon with poor lood !ir!ulation affe!tin the heart, high

blood pressureand rise in the level of cholesterol. Tirednessand breathlesso!!ur when !ommon

tasks like !limin stairs or walkin a stret!h are performed.

4. ;s an +C0 nurse + should ive a rief introdu!tion on !ardia! !y!le to my patients, espe!ially to

those that underwent !ardia! surery, e%perien!ed a !ardia! arrest or any form of !oronary heart

disease. +t is important to e%plain them how the heart works and what was the parti!ular

malfun!tion, where was reistered in the !y!le, that led to their heart !ondition, makin so the

a!knowledement and a!!eptan!e of their medi!al !ondition as easy as possile. his will help to

estalish a !ir!le of trust etween me and the patients, winnin their !onfiden!e must e one of

my maor !on!erns durin the medi!al !are pro!ess, helpin me to help the patient himself.

$. #. +ead the patient information !eaf!et. In pairs discuss what the fo!!owing parts of the heart

do.

he atria / he atrium (plural: atria), sometimes !alled auric!e& a separate part of

the main atria known as the atrial appendaes,refers to a !hamer or

spa!e, in whi!h lood enters the heart. #eo%yenated lood enters the

right atrium, one of the upper re!eivin !hamers of the heart. he

left atrium, the other upper re!eivin !hamer, re!eives o%yenated lood

from theleft and riht pulmonary veins.

2
http://health.howstuffworks.com/how-stress-works.htmhttp://recipes.howstuffworks.com/fast-food.htmhttp://health.howstuffworks.com/sports-physiology.htmhttp://health.howstuffworks.com/life-stages/aging/aging.htmhttp://health.howstuffworks.com/what-happens-during-a-heart-attack.htmhttp://en.wikipedia.org/wiki/Atrial_appendagehttp://en.wikipedia.org/wiki/Pulmonary_veinshttp://health.howstuffworks.com/how-stress-works.htmhttp://recipes.howstuffworks.com/fast-food.htmhttp://health.howstuffworks.com/sports-physiology.htmhttp://health.howstuffworks.com/life-stages/aging/aging.htmhttp://health.howstuffworks.com/what-happens-during-a-heart-attack.htmhttp://en.wikipedia.org/wiki/Atrial_appendagehttp://en.wikipedia.org/wiki/Pulmonary_veins


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he valves / he !ardia! !y!le relies on the effi!ien!y of the four valves etween

the atria, the ventri!les and the pulmonary lood vessels / tricuspid

6riht atrium / riht ventri!le&, bicuspid/mitral 6left atrium / left

ventri!le&, aortic valve 6left ventri!le / aorta& and pulmonary valve

6riht ventri!le / pulmonary artery& hese valves open to let in

suffi!ient lood flow to fill ea!h heart !hamer and then shut toprevent the a!kflow of lood.

he ventri!les / he right ventricle pumps de8o%yenated lood away from the heart

throuh the 8shaped pulmonary artery. 9%yenated lood enters the

heart throuh the left atrium and is pumped to the left ventricle. he

left ventri!le is en!ased in thi!ker !ardia! mus!le than the riht side

e!ause it has to pump o%yenated lood around the entire ody via

the aorta, the larest artery.

he pulmonary vein / Caries re8o%yenatedloodfrom the luns throuh thepulmonary vein

into the leftatrium. here are four pulmonary veins, two from ea!h lun.

hey !arry o%yenatedlood, whi!h is unusual sin!e almost all other

veins!arry deo%yenated lood.he pulmonary artery / he riht ventri!le pumps de8o%yenated lood away throuh the 8

shapedpulmonary arteryinto the luns.he aorta / he left ventri!le is en!ased in thi!ker !ardia! mus!le than the riht side

e!ause it has to pump o%yenated lood around the entire ody viathe aorta, the larest artery of the ody.

Exercise ,/pag.1-

,. #. usana uses se"era! informa! expressions to create a friend!' and re!axed re!ationship with

the patient. atch the expressions from the dia!ogue (17) to their meaning (a g).

1. have a !hat

2. a it of a sho!k

3. a it flushed

4. wat!h for

5. +(ll ust ra a !hair

". fired up

$. keep an eye on

e. dis!uss

. unpleasant surprise

!. ruddy@red !omple%ion

d. take noti!e

. +(m oin to sit down

f. enthusiasti!

a. monitor

,. c. omp!ete the strategies for putting a patient at ease (1,) using the words in the #ox. 0hen

match them to the rationa!es (ad).

udemental rapport positive same level

1. it at the same level as the patient.

2. )ake positive responses whilst noddin

your head.

3. #on(t make udemental !omments.

4. 0se humour to estalish a ood rapport

with your patient.

a. his en!ouraes patients in their attempts

at learnin new information.

. his shows respe!t for the patient(s riht

to make de!isions aout health!are.

!. his !an lihten the atmosphere and help

patient rela%.

d. his help patients feel that you are

interested in talkin to them rather than over

them.

3
http://en.wikipedia.org/wiki/Left_ventriclehttp://en.wikipedia.org/wiki/Aortahttp://en.wikipedia.org/wiki/Right_ventriclehttp://en.wikipedia.org/wiki/Pulmonary_arteryhttp://en.wikipedia.org/wiki/Bloodhttp://en.wikipedia.org/wiki/Lunghttp://en.wikipedia.org/wiki/Atrium_(anatomy)http://en.wikipedia.org/wiki/Oxygenation_(medical)http://en.wikipedia.org/wiki/Veinshttp://en.wikipedia.org/wiki/Left_ventriclehttp://en.wikipedia.org/wiki/Aortahttp://en.wikipedia.org/wiki/Right_ventriclehttp://en.wikipedia.org/wiki/Pulmonary_arteryhttp://en.wikipedia.org/wiki/Bloodhttp://en.wikipedia.org/wiki/Lunghttp://en.wikipedia.org/wiki/Atrium_(anatomy)http://en.wikipedia.org/wiki/Oxygenation_(medical)http://en.wikipedia.org/wiki/Veins


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Exercise /pag.11

. c. Listen again and mar* the fo!!owing statements 0rue (0) or a!se ().

1. She does not manage her ADLs at home by herself. (T)

2. he has een >uite distressed.(0)

3. Her 7A at 1B am was 2BB@1B5. (0)4. Her pulse was 88 at 10 am. (F)

5. he porter has een ooked for tomorrow. ()

. d. atch the a##re"iation ( 1 1,) to their meanings (a n)

1. 7A

2. A

3. >ds

4. )+

5. +N". H9

$. 4D

E. !@o

F. sl

1B. 9211. GC

12. ;#s

13. At.

14. 9s.

. lood pressure

m. pulse

. four hourly, or every four hours= also 4/24

f. myo!ardial infar!tion, or heart atta!k

l. ly!eryl trinitrate= also !alled nitrolinual !.!. enior House 9ffi!er

. four times a day

h. !omplain of

e. sulinual, or under the the tonue

n. o%yen

d. ele!tro!ardioram

a. a!tivities of daily livin

k. patient

i. osevation

4


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. e. Listen again and comp!ete the fo!!owing extract using the a##re"iation in

iht, now )rs Cho in ed numer five. )rs Cho was readmitted yesterday e!ause of

un!ontrolled hypertension. 'ou


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Exercise 1/pag.1

1. d. 3nother patient& rs. mits handed o"er. se information from the 8atient +ecord tocomp!ete what was said

J"K he last thin to rememer is to re!ord the hihest of the three readins on

your #aily e!ord Chart.

J5K ;fter that, + want you to low into the peak flow meter two more times.

[3 !e"t# blow as hard and as fast as you $an w%th one breath.

J1K iht, first of all, ust move the red indi!ator to the ottom of the numered

s!ale, like this.

J2K Now, stand up. ake a deep reath and try to fill your luns as mu!h as you

!an.

J4K )ake a note of the final position of the marker.

Exercise 2/pag.1

2. #. omp!ete the strategies for gi"ing instructions effecti"e!' (1;) using the

words and phrases in the #ox.

at the same level demonstrate +(m oin to tea!h you how to understood

repeat smilin firstly se!ondly hat


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Exercise ,/pag.17

,. a. Listen to the con"ersation and !a#e! the parts of the respirator' s'stem using the words in the#ox.

nasa! ca"it' a!"eo!i throat or phar'nx windpipe or trachea ora! ca"it'

"oice #ox or !ar'nxp!eura! mem#rane epig!ottis intercosta! space #ronchus

ora, cavit&

,ar&n3/voice %o3

%ronch's

a,veo,i

epi(,ottis

-indpipe/trachea

p,e'ra, mem%rane/

intercosta, space

ri%s


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Exercise =/pag.1%=. d. atch the medica! terms to their ( 1 7) to their meanings (a g)

1. inspiration

2. inspiratory rate

3. respirations

4. respiratory rate

5. e%piration

". e%piratory rate

$. M 4@min.

e. enior House 9ffi!er

d. four times a day

!. !omplain of

f. sulinual, or under the the tonue

. o%yen

. ele!tro!ardioram

a. a!tivities of daily livin


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Exercise 7/pag.2-

7. #. atch the a##re"iations from the 8atient +ecord (1 =) to their meanings (a f)

1. 0+

2. 97

3.

4. C

5. p@f ". At ed.

e. upper respiratory tra!t infe!tion

f. shortness of reath@diffi!ulty reathin 6dyspnoea&

a. respiratory rate

!. !hest 8ray

. peak flow= the most air whi!h is e%pired. patient edu!ation

Exercise 7/pag.21

7. f.

1. apnoea

2. radypnoea

3. eupnoea

4. ta!hypnoea

5. dyspnoea

. the patient is not reathin at all

d. the patient(s reathin is slow rate= the respiratory

rate is less than 12 reaths per minute

e. the patient is reathin a normal respiratory rate

/ etween 12 and 2B reaths per minute

!. the respiratory rate is rapid= it has in!reased to

etween 2B and 3B reaths per minute

a. the patient has laoured reathin or diffi!ulty

reathin


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Exercise 1/pag.2$

1. f. atch the medica! terms and a##re"iation (1 7) to their meaning (a g).

1. CN

2. A#

3. #oppler

4. us

5. spike a temperature

". + ;s

$. ;C

f. Clini!al Nurse pe!ialist

. Aeripheral as!ular #isease

. ultrasound devi!e whi!h measures lood flow

throuh arteries and veinsa. mi!roes

!. have episodes of pyre%ia

d. antiioti!s whi!h are iven throuh a vein

e. a!uum ;ssisted Closure= also pronoun!ed &ac


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Exercise 2/pag.2$

2. a. atch the #eginnings (1 ) to the endings (a e) to comp!ete the questions.

1. *ould you mind

2. *hat would you re!ommend

3. *hat do you think

4. *hat do you suest we5. #o you think it(s a ood idea

!. ivin me some advi!e on his wound !are

manaement?

a. that we !hane to?

e. + should do with this ul!er?

. use?d. to try that instead of the dressin they(re usin

now?

2. #. atch the sentences in Exercise 2a to the most !i*e!' responses.

1. *hat do you think + should do with this ul!er?

*ell, + think the first thin to do is to reassess the wound.

2. *hat do you suest to use?

+


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Exercise $/pag.2

$. #.

1. ne!rosis

2. es!har

3. dessi!ation

4. inflamation

5. swa

". slouh

$. deridment

E. !ellulitis

h.death of !ells and livin tissue

a.dry, la!k, ne!roti! tissue

.dryin out

.swellin !aused y infe!tion

d.a small pie!e of material whi!h is used to take

samples of ody fluids

e.dead tissue whi!h separates from healthy tissue

after infe!tion

f.the removal of dead tissue

!.inflammation of the tissue under the skin, often

!aused y an infe!tion

$. e. omp!ete the fo!!owing sentences using the words in the #ox and then match the sentencesto

the photos in Exercise $a

!ellulitis slouh es!har inflammation swa ne!rosis desi!!ation deridement

1. )rs. imenes has an area of necrosis,or dead t%ssue# on her left lower le. here are la!kened

areas, or eschar, on the upper wound. hese areas will e suri!ally derided tomorrow.

photoOOOOO

2. )r Gdwards has cellulitisin the lo'er leg "he 'ound is sho'ing signs of dryin out, or

desiccation/ there is >uite a lot of skin flakin off his le.

photoOOOOO

3. he skin surroundin )rs Heath


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Exercise ,/pag.2=

,. #. $.$ >ou are attending a 84 training session gi"en #' a wound management !inica!

:urse pecia!ist& r ?ohn imp*ins& on wound #ed preparation. Listen and tic* the medica!

terms 'ou hear (1;).

1. well 8 vas!ularised

2. viale

$. ne!roti! tissue

,. hih a!terial load. e%udate

=. ma!eration

7. !hroni!

;. skin raft

!. ood lood !ir!ulation is a!hieved, and the tissue

are supplied with o%yen and other nutrients

. ale to row or survive

h. dead tissue

e. a hih level of infe!tion !arried y the tissuesf. ooPe or dis!hare from the wound

. e%!essive softness !aused y too mu!h moister

d. lon / term or onoin

a. the transplantation of skin from another part of the

ody to a wound whi!h !annot heal on its own.

Exercise /pag.2;

. c. @.$& 0he con"ersation contains se"era! examp!es of as*ing for and gi"ing ad"ice& Listen again

and match the requests (1,) to the ad"ice (aAd).

1. QrisPtina what do you suest + !lean the

wound with?

2. Can you ive me some advi!e on lookin

after this at home?

$. *hat should + do aout the antiioti!s?

,. hould + et a medi!al !ertifi!ate

c.+ts est to flush it with lots of Normal aline

efore you do the dressin

a.ure ... +(d like you to keep it !lean and dry and !ome

to 9utpatients to have the dressin !haned daily.

d.'ou(ll e pres!ried some antiioti!s y the do!tor a

it later. 'ou(ll et a s!ript whi!h you !an take to the

hospital pharma!y to e filled.

#.'es, that(d e a ood idea.

. e. atch the medica! terms (1-12) to their meanings (ai).

1. ranulated

2. slouhy

$. ma!erated

,. inflamed

. serous

=. haemoserous

7. purulent

;. odour%. non / adhesive dressin6N;#&

1-. antimi!roial

11. hydratin

12. inta!t wound

g. !ontainin !onne!tin tissue found in healthy

wounds.

d.!ontains dead tissue whi!h fails off a wound durin

an infe!tion

i. softened e!ause of e%!ess of moisture.

*.red and swollen e!ause of an infe!tion

a.with yellowish fluid or lood serumB. yellowish fluid tined with red lood !ells


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f. full of puss, a yellow or reen dis!hared found in

an infe!ted wound,

!. smell 6usually unpleasant&.

c. a dressin whi!h does not sti!k to the wound

h. somethin whi!h treats infe!tive mi!rooranism

#. addin moisture to somethin

e. the dressin is sealed and !annot e lifted off for

viewin

Exercise 1/pag.$-

1. d. >ou are Loo* at the rest of the con"ersation and comp!ete usanCs quest ions.

usan: How often do you see your lo!al do!tor?

)rs QimL + see her at least on!e a month for a !he!kup.

usanL How many times a day do you !he!k your 7s, your lood suar levels?

)rs QimL ;t the moment + !he!k efore meals and ust efore + o to ed.usanL Do you f%nd %t easy to use the glu$ometer-

)rs QimL +tuite well. )y A showed me how to use it.

usanL *hat+s good. , )now what you mean they are a b%t d%ff%$ult at f%rst.

How frequently do you have a urine test to !he!k your kidney fun!tion?

Exercise $/pag.$2

$. c. ,.2 Listen again and comp!ete the fo!!owing sentences.

1. 'ou


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.0se impersonal statements, whi!h are less

threatenin

=.Aersonalise the information

7. Aut the responsiility of the out!ome on

the patient if the advi!e is not taken, in a

firm ut supportive tone

g.'ou


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he normal pan!reas produ!es a hormone !alled

61&insulin in the eta !ells.

+nsulin 62& regulates lood suar levels 7&

y movin 9/:;;; glucose from the blood %ntothe

mus$le# /4 fat and (+) liver $ells. *h%s means

that glu$ose $an be used as / fuelfor the body.

he diaeti! pan!reas may not produ!e any%nsul%n at all %n the /5 beta $ells# or produ$e too

l%ttle %nsul%n to 6E& normaliselood suar levels. +f

noninsulin is produ!ed, this is !alled ype 1

diaetes and is often the !ause of diaetes %n /6

children %aily or t'ice daily (-) injectiono insulin by people w%th *ype 1 d%abetes.7hen the pan$reas produ$es too l%ttle%nsul%n# th%s %s $alled ype 2 diaetes and

makes up aout 611& 90% of all !ases of diaetes.his type of diaetes may e treated with an 612& oralonhypoglycaemic med%$at%on and somet%mes also w%th%nsul%n %ne$t%on. *wo new de'%$es# %nsul%n /13

inhalers and insulin (4) pumps oer great%mpro'ements %n l%festyle for all d%abet%$s.

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