Сестринское дело в педиатрии: лист заданий с ответами

Какой симптом типичен для крупа?

1. AСлюнотечение и невозможность глотать
2. BЗвук «репризы» после приступов кашля
3. CСвистящее дыхание только на выдохе
4. DЛающий кашель, похожий на лай тюленя

Which food is a good source of iron for a toddler?

1. ALean red meat or iron-fortified cereal
2. BLarge amounts of cow's milk
3. CPlain white rice and pasta
4. DApple juice with every meal

What is usually the first sign of puberty in girls?

1. ARapid weight loss
2. BFirst menstrual period
3. CUnderarm hair
4. DBreast budding

Which stool pattern is typical of Hirschsprung disease in an older child?

1. ANormal stools with occasional itching around the anus at night
2. BChronic constipation with thin, ribbon-like, foul-smelling stools and distension
3. CFrequent bloody diarrhoea with fever after eating chicken
4. DPale, bulky, fatty stools that float and are hard to flush, with a large appetite

Which instruction about a child's new plaster cast is correct?

1. AKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
2. BKeep the limb raised and report increasing pain, numbness or pale or blue fingers
3. CPush a knitting needle inside the cast to scratch an itch
4. DLet the child walk on a leg cast as soon as it is applied

Which diet is usually recommended for a child with cystic fibrosis?

1. AA low-salt diet to protect the heart and kidneys from damage later in life
2. BA low-protein diet to reduce the work of the pancreas
3. CA high-energy, high-fat diet with fat-soluble vitamin supplements
4. DA low-fat diet to reduce greasy stools and abdominal pain

Родитель отказывается от рекомендованной вакцины для своего младенца из-за опасений побочных эффектов. Каков лучший первоначальный сестринский подход?

1. AИзбегать этой темы на будущих визитах
2. BВыслушать опасения, предоставить чёткую научно обоснованную информацию и задокументировать беседу
3. CСказать родителю, что ребёнка больше не будут лечить в клинике, если не сделать вакцину
4. DВсё равно ввести вакцину, пока родитель отвлечён

Which practice most reduces the risk of errors with high-alert medicines such as insulin or opioid infusions in children?

1. ARounding doses up to the nearest whole number to keep things simple
2. BChecking the dose only when the drug is given for the first time
3. CAsking the child's parent to look at the syringe and confirm that the dose looks right
4. DAn independent double check by a second nurse before giving the medicine