Сестринское дело в педиатрии: лист заданий с ответами

Согласно атравматичному уходу, где следует проводить болезненную процедуру, например взятие крови?

1. AВ игровой комнате, чтобы ребёнок чувствовал себя расслабленно
2. BВ комнате ожидания на глазах у других детей
3. CВ процедурном кабинете, а не в постели ребёнка
4. DВ постели ребёнка, чтобы ему не нужно было двигаться

What is the HEADSS (or HEEADSSS) assessment used for?

1. AA screening test for newborn hearing before discharge
2. BA scale for scoring dehydration in infants
3. CA pain score for children who cannot speak
4. DA structured psychosocial interview with adolescents

For which child is a 0 to 10 numerical pain rating scale usually suitable?

1. AA child of about 8 years or older
2. BA 2-year-old with a recent fracture
3. CA newborn after a heel prick
4. DA 3-year-old who cannot yet count

Which factors can trigger a sickle cell crisis?

1. ASleeping for long periods in a warm room
2. BEating a high-iron diet and taking daily multivitamins
3. CDrinking plenty of water during hot weather
4. DDehydration, infection, cold and low oxygen

Which finding suggests repeated self-induced vomiting?

1. AA butterfly rash on the cheeks and patchy hair loss
2. BSwelling of the ankles and puffy eyes
3. CCalluses on the knuckles and loss of tooth enamel
4. DYellow skin, itching and dark urine

Which group of findings suggests Kawasaki disease?

1. AFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
2. BFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days
3. CHigh fever for 3 days, then a pink rash as the fever settles
4. DLow-grade fever, a barking cough and stridor that are worse at night

A toddler has burns on both feet and the buttocks, with sharp "stocking" lines and no splash marks. What should the nurse consider?

1. AA skin infection that looks like a burn
2. BAn accidental spill from a cup of tea
3. CSunburn from playing outside in a paddling pool on a hot day
4. DPossible deliberate immersion; follow the safeguarding procedure

A child with sickle cell disease has been exposed to parvovirus B19 (fifth disease). Why is this a concern?

1. AIt causes the sickle gene to become active in the child
2. BIt makes the child immune to all future crises
3. CIt can stop red cell production for days and cause severe anaemia
4. DIt triggers a severe allergic reaction to the virus