Сестринское дело в педиатрии: лист заданий с ответами

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1.Лёгкая

Why are breastfed infants often given a vitamin D supplement?

  1. AVitamin D prevents newborn jaundice
  2. BVitamin D prevents iron-deficiency anaemia
  3. CBreast milk contains too little protein for growth
  4. DBreast milk contains little vitamin D
2.Лёгкая

A 13-year-old boy has sudden, severe pain in one testis with nausea and vomiting. How should this be treated?

  1. AAs a surgical emergency
  2. BAs a urine infection to be treated at home
  3. CAs a sports strain that will heal with rest
  4. DAs normal growing pains of puberty
3.Лёгкая

Why must a toddler never be left alone in the bath, even for a moment?

  1. AThe bath water cools quickly and causes hypothermia
  2. BA young child can drown silently in a few centimetres of water
  3. CSoap left on the skin irritates a toddler's skin
  4. DA toddler left alone gets bored, cries and tries to climb out of the bath
4.Средняя

A child with ITP has a low platelet count. Which advice is correct?

  1. APlay rugby and football as normal to stay active
  2. BTake aspirin for any pain to thin the blood
  3. CAvoid contact sports and medicines such as ibuprofen and aspirin
  4. DUse a hard toothbrush and floss firmly to keep the gums healthy
5.Средняя

Which instruction about using an adrenaline (epinephrine) auto-injector is correct?

  1. AInject into the upper arm muscle, but only after removing all the clothing first
  2. BInject it into the buttock muscle and then let the child walk it off at home
  3. CUse it only after an antihistamine has failed to work
  4. DInject into the outer thigh, through clothing if needed, and call emergency services
6.Средняя

Какое сестринское действие защищает линию шва после пластики расщелины губы?

  1. AНесколько раз в день очищать линию шва сухой грубой тканью, чтобы удалить корочки
  2. BСразу дать ребёнку пустышку
  3. CУкладывать ребёнка на спину или на бок и не помещать предметы в рот
  4. DУкладывать ребёнка спать на живот
7.Сложная

A child with a new forearm cast has severe pain not relieved by analgesia and screams when the nurse gently moves the fingers. What should the nurse suspect?

  1. AAnxiety; distract the child with play
  2. BNormal pain after a fracture; give more time
  3. CCompartment syndrome; report it at once
  4. DItching under the cast; give an antihistamine
8.Сложная

A 5-year-old with leukaemia tells the nurse she is ill because she was naughty. What is the best response?

  1. AAgree that being good may help her get better faster
  2. BIgnore the remark, as she is too young to understand
  3. CReassure her clearly that nothing she did or thought made her ill
  4. DExplain the cell biology of leukaemia to her in detail

Ответы

  1. 1. D · Breast milk contains little vitamin D
  2. 2. A · As a surgical emergency
  3. 3. B · A young child can drown silently in a few centimetres of water
  4. 4. C · Avoid contact sports and medicines such as ibuprofen and aspirin
  5. 5. D · Inject into the outer thigh, through clothing if needed, and call emergency services
  6. 6. C · Укладывать ребёнка на спину или на бок и не помещать предметы в рот
  7. 7. C · Compartment syndrome; report it at once
  8. 8. C · Reassure her clearly that nothing she did or thought made her ill

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