Сестринское дело в педиатрии: лист заданий с ответами

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1.Лёгкая

How deep should chest compressions be during CPR on a child?

  1. AAt least one third of the depth of the chest
  2. BAbout one tenth of the depth of the chest
  3. CJust enough to see the chest move slightly
  4. DAs deep as possible, until the ribs can be felt to give
2.Лёгкая

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

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

Which hygiene advice helps prevent urinary tract infections in girls?

  1. AHold urine in for as long as possible
  2. BTake a long bubble bath every evening before bed
  3. CWipe from front to back after using the toilet
  4. DWear tight nylon underwear and leggings
4.Средняя

A 16-year-old starts an SSRI antidepressant. What is especially important to monitor in the first weeks?

  1. AWorsening mood or new suicidal thoughts
  2. BWeight gain of more than 10 kg in the first month
  3. CA sudden rise in blood glucose
  4. DA drop in the platelet count
5.Средняя

Which factors can trigger a sickle cell crisis?

  1. AEating a high-iron diet and taking daily multivitamins
  2. BDehydration, infection, cold and low oxygen
  3. CDrinking plenty of water during hot weather
  4. DSleeping for long periods in a warm room
6.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. BUse it only after an antihistamine has failed to work
  3. CInject it into the buttock muscle and then let the child walk it off at home
  4. DInject into the outer thigh, through clothing if needed, and call emergency services
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. ACompartment syndrome; report it at once
  2. BItching under the cast; give an antihistamine
  3. CAnxiety; distract the child with play
  4. DNormal pain after a fracture; give more time
8.Сложная

A mother says her 3-month-old broke his thigh bone by crawling off the bed. What should concern the nurse?

  1. AThe explanation does not fit the baby's stage of development
  2. BBabies of this age often crawl and fall
  3. CThigh fractures are common in young infants with soft bones
  4. DThe fracture is too small to need treatment and will heal by itself

Ответы

  1. 1. A · At least one third of the depth of the chest
  2. 2. A · A young child can drown silently in a few centimetres of water
  3. 3. C · Wipe from front to back after using the toilet
  4. 4. A · Worsening mood or new suicidal thoughts
  5. 5. B · Dehydration, infection, cold and low oxygen
  6. 6. D · Inject into the outer thigh, through clothing if needed, and call emergency services
  7. 7. A · Compartment syndrome; report it at once
  8. 8. A · The explanation does not fit the baby's stage of development

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