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?
AAt least one third of the depth of the chest
BAbout one tenth of the depth of the chest
CJust enough to see the chest move slightly
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?
AA young child can drown silently in a few centimetres of water
BSoap left on the skin irritates a toddler's skin
CThe bath water cools quickly and causes hypothermia
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?
AHold urine in for as long as possible
BTake a long bubble bath every evening before bed
CWipe from front to back after using the toilet
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?
AWorsening mood or new suicidal thoughts
BWeight gain of more than 10 kg in the first month
CA sudden rise in blood glucose
DA drop in the platelet count
5.Средняя
Which factors can trigger a sickle cell crisis?
AEating a high-iron diet and taking daily multivitamins
BDehydration, infection, cold and low oxygen
CDrinking plenty of water during hot weather
DSleeping for long periods in a warm room
6.Средняя
Which instruction about using an adrenaline (epinephrine) auto-injector is correct?
AInject into the upper arm muscle, but only after removing all the clothing first
BUse it only after an antihistamine has failed to work
CInject it into the buttock muscle and then let the child walk it off at home
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?
ACompartment syndrome; report it at once
BItching under the cast; give an antihistamine
CAnxiety; distract the child with play
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?
AThe explanation does not fit the baby's stage of development
BBabies of this age often crawl and fall
CThigh fractures are common in young infants with soft bones
DThe fracture is too small to need treatment and will heal by itself
Ответы
1. A · At least one third of the depth of the chest
2. A · A young child can drown silently in a few centimetres of water
3. C · Wipe from front to back after using the toilet
4. A · Worsening mood or new suicidal thoughts
5. B · Dehydration, infection, cold and low oxygen
6. D · Inject into the outer thigh, through clothing if needed, and call emergency services
7. A · Compartment syndrome; report it at once
8. A · The explanation does not fit the baby's stage of development
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