ใบงาน การพยาบาลเด็ก พร้อมเฉลย

What is the cause of Hirschsprung disease?

1. AOne part of the bowel telescoping into the next part
2. BMissing nerve (ganglion) cells in part of the bowel
3. CInflammation of the bowel lining after a viral infection
4. DThickening of the muscle at the outlet of the stomach

Where does neuroblastoma most often start?

1. AIn the bone marrow of the pelvis
2. BIn the lining of the bladder
3. CIn the white matter of the brain
4. DIn the adrenal gland

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

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

Why do young children with sickle cell disease usually take daily penicillin?

1. APenicillin stops red cells from changing shape
2. BSickle cells make the child allergic to most other antibiotics
3. CPenicillin prevents pain crises in cold weather
4. DPoor spleen function puts them at high risk of pneumococcal infection

A child receiving chemotherapy has painful mouth ulcers (mucositis). Which mouth care is best?

1. ASpicy and acidic foods to stimulate saliva flow
2. BA soft toothbrush or sponge, bland rinses and soft, cool foods
3. CMouthwash containing alcohol several times a day
4. DA hard toothbrush and lemon–glycerine swabs to clean the ulcers

How should the nurse position the ear when giving ear drops to a 2-year-old?

1. APull the pinna gently up and back
2. BPull the pinna gently down and back
3. CPull the earlobe gently forward and up
4. DLeave the pinna alone and tilt the head

After successful treatment of anaphylaxis, why is the child observed for several hours?

1. AObservation is only needed for legal reasons
2. BThe child must stay until antibody tests come back
3. CAdrenaline always causes a dangerous rash later
4. DSymptoms can return even after recovery

An infant on digoxin has vomited twice. The apical pulse is below the limit set by the prescriber. What should the nurse do?

1. AGive the dose with milk to stop the vomiting
2. BGive the dose and recheck the pulse in an hour
3. CGive half the dose to be on the safe side
4. DWithhold the dose and inform the prescriber