Сестринское дело в педиатрии: лист заданий с ответами

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1.Лёгкая

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

  1. AИзменения внешности
  2. BСтрах смерти
  3. CПропуск школы
  4. DРазлука с родителями
2.Лёгкая

How is cystic fibrosis inherited?

  1. AAutosomal dominant
  2. BThrough mitochondrial DNA from the mother
  3. CAutosomal recessive
  4. DX-linked recessive
3.Лёгкая

Which practice most increases the risk of early childhood tooth decay?

  1. APutting a baby to bed with a bottle of milk or juice
  2. BBrushing the teeth with a smear of fluoride toothpaste
  3. CHaving a first dental visit by about the first birthday
  4. DOffering water to drink between meals
4.Средняя

Which finding suggests repeated self-induced vomiting?

  1. ASwelling of the ankles and puffy eyes
  2. BCalluses on the knuckles and loss of tooth enamel
  3. CA butterfly rash on the cheeks and patchy hair loss
  4. DYellow skin, itching and dark urine
5.Средняя

A toddler refuses a liquid medicine. Which approach is appropriate?

  1. AMix it with a small spoonful of food, if the pharmacist says this is safe
  2. BTell the child it is a sweet so that he takes it happily
  3. CMix it into a full bottle of milk or juice for the whole day
  4. DHold the child's nose firmly until he has to open his mouth to breathe
6.Средняя

An infant with heart failure is treated with furosemide. Which blood result is most important to monitor?

  1. ASerum bilirubin
  2. BSerum potassium
  3. CPlatelet count
  4. DSerum amylase and lipase
7.Сложная

The nurse has taught the parents of a child with sickle cell disease. Which statement shows a need for further teaching?

  1. A"In summer she can drink less so she doesn't need the toilet at school."
  2. B"We'll dress her warmly before she goes out in cold weather."
  3. C"We'll learn how to feel her tummy for an enlarged spleen."
  4. D"We'll call the hospital straight away if she has a fever."
8.Сложная

A child has had many hospital admissions with unexplained symptoms. They occur only when the mother is present and stop when the child is apart from her. What should the nurse consider?

  1. AFabricated or induced illness; follow safeguarding procedures
  2. BThe child is pretending to be ill to avoid school
  3. CA rare genetic disorder that needs more tests at once
  4. DThe ward environment or hospital food is causing the symptoms

Ответы

  1. 1. D · Разлука с родителями
  2. 2. C · Autosomal recessive
  3. 3. A · Putting a baby to bed with a bottle of milk or juice
  4. 4. B · Calluses on the knuckles and loss of tooth enamel
  5. 5. A · Mix it with a small spoonful of food, if the pharmacist says this is safe
  6. 6. B · Serum potassium
  7. 7. A · "In summer she can drink less so she doesn't need the toilet at school."
  8. 8. A · Fabricated or induced illness; follow safeguarding procedures

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