选D.
句子意思：
这位护士非常温和地对待那个淘气的孩子,但是最后她的耐心消耗殆尽了.
选项辨析：
Awent away 离开
B used up 用完；用尽【及物动词短语,在这里要用的话,必须用被动语态】
C gave away 分发；拿走；剥夺；透漏/泄露（消息/秘密）
【D gave out 公布；分发；筋疲力竭；用尽】
按照句意表达,只有D最合适.
祝你开心如意!
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