Сестринское дело в педиатрии: лист заданий с ответами

Which treatment, given early, reduces the risk of heart damage in Kawasaki disease?

1. AOral antibiotics for 10 days
2. BIntravenous immunoglobulin (IVIG)
3. CAntiviral medicine such as aciclovir
4. DInsulin and fluids

Что обычно является самым сильным стрессором для госпитализированного ребёнка раннего возраста?

1. AПропуск школы
2. BИзменения внешности
3. CРазлука с родителями
4. DСтрах смерти

What causes respiratory distress syndrome in preterm babies?

1. AInhaling meconium-stained fluid during birth
2. BA lack of surfactant in the immature lungs
3. CAn allergy to the oxygen used in the incubator
4. DA viral infection caught from the mother

Почему кодеин и трамадол не рекомендуют детям младше 12 лет?

1. AОни всегда вызывают аллергию
2. BУ некоторых детей они метаболизируются очень быстро, вызывая опасное угнетение дыхания
3. CИх можно вводить только внутривенно
4. DОни слишком слабы для облегчения умеренной боли, поэтому всегда предпочитают более сильные опиоиды

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

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

A child has scabies. Which plan is correct?

1. ATreat only the child, as family members without itching are not infected
2. BTreat the child and all close contacts at the same time, and wash bedding and clothes
3. CStop treatment as soon as the itch improves on the first day
4. DTreat only the itchy areas of skin, not the whole body

A parent asks why the HPV vaccine is offered in early adolescence (at about 11 to 13 years, depending on the country). Which answer is best?

1. AIt works best before any exposure to the virus, and young adolescents respond strongly
2. BChildren of this age are already likely to have the virus, so it treats the infection
3. CIt is only effective if given in the first year of secondary school, before exams start
4. DIt is given at this age because it prevents chickenpox in adolescence

The safe dose range of a drug is 25–50 mg/kg per day, divided every 8 hours. A 12 kg child is prescribed 250 mg every 8 hours. What should the nurse do?

1. AGive the dose, because 250 mg is within the range for a single dose
2. BGive the dose, because the minimum safe daily dose is 300 mg
3. CGive half the dose and inform the prescriber at the next round
4. DContact the prescriber, because 750 mg a day is above the maximum of 600 mg