ใบงาน การพยาบาลเด็ก พร้อมเฉลย

Which vaccine has made acute epiglottitis much less common in children?

1. AMeasles–mumps–rubella (MMR) vaccine
2. BRotavirus vaccine given by mouth
3. CHaemophilus influenzae type b (Hib) vaccine
4. DPneumococcal conjugate vaccine

Which finding suggests hydrocephalus in an infant?

1. AA rapidly increasing head circumference with a bulging fontanelle
2. BA sunken fontanelle with dry mucous membranes and few wet nappies
3. CA small head with a closed fontanelle at birth
4. DA flat area on the back of the head

Which respiratory rate range is normal for a healthy newborn at rest?

1. AAbout 12 to 20 breaths per minute
2. BAbout 30 to 60 breaths per minute
3. CAbout 20 to 25 breaths per minute
4. DAbout 70 to 100 breaths per minute

Which finding suggests repeated self-induced vomiting?

1. ASwelling of the ankles and puffy eyes
2. BYellow skin, itching and dark urine
3. CA butterfly rash on the cheeks and patchy hair loss
4. DCalluses on the knuckles and loss of tooth enamel

Which diet is usually recommended for a child with cystic fibrosis?

1. AA low-salt diet to protect the heart and kidneys from damage later in life
2. BA low-protein diet to reduce the work of the pancreas
3. CA high-energy, high-fat diet with fat-soluble vitamin supplements
4. DA low-fat diet to reduce greasy stools and abdominal pain

เหตุใดจึงไม่แนะนำโคเดอีนและทรามาดอลในเด็กอายุต่ำกว่า 12 ปี?

1. Aออกฤทธิ์อ่อนเกินไปที่จะบรรเทาความปวดปานกลาง จึงต้องเลือกโอปิออยด์ที่แรงกว่าเสมอ
2. Bให้ได้เฉพาะทางหลอดเลือดดำ
3. Cเด็กบางคนเมตาบอไลซ์ยาเหล่านี้เร็วมาก ทำให้กดการหายใจอย่างอันตราย
4. Dทำให้เกิดการแพ้เสมอ

A 14-year-old took a large overdose of paracetamol (acetaminophen) 4 hours ago and says she feels fine. What should the nurse understand?

1. AParacetamol is not toxic, so she only needs a psychiatric assessment
2. BLiver damage develops over days, so urgent acetylcysteine may still be needed
3. CTreatment is only useful if started within 30 minutes, so it is now too late to help
4. DSince she feels well, the overdose was too small to be harmful

A child with leukaemia and a very high white cell count starts chemotherapy. Which blood results suggest tumour lysis syndrome?

1. AHigh potassium, high phosphate, high uric acid and low calcium
2. BHigh sodium, high glucose, low albumin and low urea
3. CLow haemoglobin and low platelets with a normal potassium
4. DLow potassium, low phosphate, low uric acid and high calcium