Сестринское дело в педиатрии: лист заданий с ответами
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1.Лёгкая
Which finding is typical of impetigo?
AHoney-coloured crusts, often around the nose and mouth
BSilvery scales on the elbows and knees
CA target-shaped rash with a dusky, pale centre on the palms
DTiny burrows between the fingers
2.Лёгкая
What is the most serious complication of Kawasaki disease?
ACoronary artery aneurysms
BPermanent hearing loss
CDiabetes mellitus
DKidney failure needing dialysis
3.Лёгкая
What is kangaroo care?
ASkin-to-skin contact between a parent and a baby, often a preterm baby
BCarrying the baby in a front sling or carrier while doing the housework each day
CWrapping the baby tightly in a blanket for sleep
DA special incubator that copies the mother's heartbeat
4.Средняя
Which diet is usually recommended for a child with cystic fibrosis?
AA low-protein diet to reduce the work of the pancreas
BA low-salt diet to protect the heart and kidneys from damage later in life
CA low-fat diet to reduce greasy stools and abdominal pain
DA high-energy, high-fat diet with fat-soluble vitamin supplements
5.Средняя
Which signs in a 2-day-old baby suggest sepsis?
ASmall white spots on the nose and a pink face
BUnstable temperature, poor feeding, lethargy and breathing difficulty
CHiccups after feeds with a strong, lusty cry between feeds
DRegular feeding with six wet nappies a day
6.Средняя
A child with type 1 diabetes is unconscious from hypoglycaemia at school. What should be done?
AGive a glass of orange juice by mouth
BLet the child sleep and check again in an hour
CGive the child's usual dose of insulin
DGive glucagon and call emergency services
7.Сложная
A 14-year-old has superficial cuts on her forearms. She says cutting helps her cope and that she does not want to die. What is the best nursing response?
AAccept that she is not at risk because she says she does not want to die
BTreat the wounds, stay calm and non-judgemental, and refer for assessment
CPromise not to tell anyone so that she keeps talking
DTell her firmly that cutting is attention-seeking behaviour and that she must stop now
8.Сложная
A family with a 2-year-old has a swimming pool in the garden. Which measure gives the most protection against drowning?
AExplaining to the child that the pool is dangerous
BA four-sided fence with a self-closing, self-latching gate, plus constant supervision
CSwimming lessons from age 2, so that close supervision is no longer needed
DArm floats whenever the child is near the pool
Ответы
1. A · Honey-coloured crusts, often around the nose and mouth
2. A · Coronary artery aneurysms
3. A · Skin-to-skin contact between a parent and a baby, often a preterm baby
4. D · A high-energy, high-fat diet with fat-soluble vitamin supplements
5. B · Unstable temperature, poor feeding, lethargy and breathing difficulty
6. D · Give glucagon and call emergency services
7. B · Treat the wounds, stay calm and non-judgemental, and refer for assessment
8. B · A four-sided fence with a self-closing, self-latching gate, plus constant supervision
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