Сестринское дело в педиатрии: лист заданий с ответами
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1.Лёгкая
Which food is a good source of iron for a toddler?
ALarge amounts of cow's milk
BLean red meat or iron-fortified cereal
CApple juice with every meal
DPlain white rice and pasta
2.Лёгкая
The nurse strokes the sole of a 6-month-old's foot and the toes fan out with the big toe extending. What does this mean?
AIt shows brain damage and needs a scan
BIt is a sign of spinal cord compression
CIt is a normal finding at this age
DIt shows the baby is in pain
3.Лёгкая
For which child is a 0 to 10 numerical pain rating scale usually suitable?
AA newborn after a heel prick
BA 3-year-old who cannot yet count
CA 2-year-old with a recent fracture
DA child of about 8 years or older
4.Средняя
A 12-year-old with type 1 diabetes will play a long football match. What should the nurse advise?
ASkip the meal before the match to avoid high glucose
BAvoid sport, because exercise is unsafe with diabetes
CCheck glucose before playing and keep fast-acting carbohydrate at hand
DInject an extra dose of insulin into the thigh just before he starts running
5.Средняя
Which task can the registered nurse delegate to a healthcare assistant (nursing assistant) on a children's ward?
AAssessing pain after surgery and choosing the analgesia
BMeasuring and recording the vital signs of a stable child
CCarrying out the admission assessment of a new patient
DTeaching a parent how to give insulin injections
6.Средняя
Перед установкой канюли планируют местный анестезирующий крем (лидокаин–прилокаин). Что важно?
AНанести заранее, обычно примерно за 60 минут, под окклюзионную повязку
BНанести за несколько секунд до иглы
CЭнергично втереть в кожу и стереть примерно через 1 минуту, без повязки
DНанести на повреждённую кожу для более быстрого эффекта
7.Сложная
Two children with cystic fibrosis are admitted to the same ward. Which precaution is important?
APut them in the same room so they can support each other
BKeep them apart, not sharing rooms, equipment or play areas
CAsk them to do their daily physiotherapy sessions together in the playroom
DLet them share airway clearance equipment to save resources
8.Сложная
A baby born at 28 weeks is now 6 months old. He is not yet sitting without support. How should the nurse interpret this?
APreterm babies never reach normal milestones, so no follow-up is needed
BHe is clearly delayed and needs urgent neurological referral
CMilestones are always judged by chronological age, so he is 3 months behind
DMilestones are judged by corrected age, here about 3 months, so this is expected
Ответы
1. B · Lean red meat or iron-fortified cereal
2. C · It is a normal finding at this age
3. D · A child of about 8 years or older
4. C · Check glucose before playing and keep fast-acting carbohydrate at hand
5. B · Measuring and recording the vital signs of a stable child
6. A · Нанести заранее, обычно примерно за 60 минут, под окклюзионную повязку
7. B · Keep them apart, not sharing rooms, equipment or play areas
8. D · Milestones are judged by corrected age, here about 3 months, so this is expected
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