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?
AJust enough to see the chest move slightly
BAt least one third of the depth of the chest
CAbout one tenth of the depth of the chest
DAs deep as possible, until the ribs can be felt to give
2.Лёгкая
What is the usual normal range for the platelet count?
AAbout 1,500 to 4,000 × 109/L
BAbout 15 to 40 × 109/L
CAbout 150 to 400 × 109/L
DAbout 4 to 11 × 109/L
3.Лёгкая
What type of vaccine is the measles–mumps–rubella (MMR) vaccine?
AAn mRNA vaccine
BA live attenuated vaccine
CA conjugate polysaccharide vaccine
DAn inactivated toxoid vaccine
4.Средняя
Как давать раствор для пероральной регидратации ребёнку с лёгким или умеренным обезвоживанием, у которого рвота?
AОдним большим питьём раз в несколько часов
BНебольшими порциями, часто, например ложкой или шприцем
CСмешав с фруктовым соком для улучшения вкуса
DТолько после того, как рвота прекратилась на 24 часа, чтобы избежать дополнительных потерь
5.Средняя
How should a parent respond to a 2-year-old's temper tantrum in a safe place?
AGive the child the sweet he wants so the tantrum stops
BShout loudly at the child to make the tantrum stop sooner
CSmack the child to show that tantrums are not allowed
DStay calm, keep the child safe and do not give in to the demand
6.Средняя
Which stool pattern is typical of Hirschsprung disease in an older child?
APale, bulky, fatty stools that float and are hard to flush, with a large appetite
BChronic constipation with thin, ribbon-like, foul-smelling stools and distension
CNormal stools with occasional itching around the anus at night
DFrequent bloody diarrhoea with fever after eating chicken
7.Сложная
Five minutes after IM adrenaline for anaphylaxis, a child is still wheezing and has a low blood pressure. What should the nurse do?
AGive an oral antihistamine and a steroid instead of more adrenaline
BSit the child up and walk her around to raise the blood pressure
CWait 30 minutes for the first dose of adrenaline to take its full effect
DGive a further dose of IM adrenaline as per protocol and call for advanced help
8.Сложная
Which child on the renal ward should the nurse assess first?
AA 4-year-old with nephrotic syndrome and mild puffy eyelids, stable since admission
BA 2-year-old after hypospadias repair with clear urine in the catheter bag
CA 7-year-old with glomerulonephritis who has a severe headache and blurred vision
DA 6-year-old on IV antibiotics for a UTI who has had no fever for 24 hours
Ответы
1. B · At least one third of the depth of the chest
2. C · About 150 to 400 × 109/L
3. B · A live attenuated vaccine
4. B · Небольшими порциями, часто, например ложкой или шприцем
5. D · Stay calm, keep the child safe and do not give in to the demand
6. B · Chronic constipation with thin, ribbon-like, foul-smelling stools and distension
7. D · Give a further dose of IM adrenaline as per protocol and call for advanced help
8. C · A 7-year-old with glomerulonephritis who has a severe headache and blurred vision
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