ใบงาน การพยาบาลเด็ก พร้อมเฉลย

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

1. APneumococcal conjugate vaccine
2. BRotavirus vaccine given by mouth
3. CMeasles–mumps–rubella (MMR) vaccine
4. DHaemophilus influenzae type b (Hib) vaccine

เหตุใดโดยทั่วไปจึงควรหลีกเลี่ยงแอสไพรินในเด็กที่เป็นโรคติดเชื้อไวรัส เช่น ไข้หวัดใหญ่หรืออีสุกอีใส?

1. Aเกี่ยวข้องกับกลุ่มอาการเรย์ (Reye syndrome)
2. Bทำให้เกิดอาการแพ้เสมอ
3. Cทำให้ไตวายทันที
4. Dทำให้วัคซีนไม่ได้ผล

สาเหตุที่พบบ่อยที่สุดของหลอดลมฝอยอักเสบ (bronchiolitis) ในทารกคืออะไร?

1. Aไวรัสอาร์เอสวี (respiratory syncytial virus, RSV)
2. Bสแตฟีโลค็อกคัส ออเรียส
3. Cเฮโมฟิลัส อินฟลูเอนซี ชนิดบี
4. Dสเตรปโตค็อกคัสกลุ่มเอ

A child with suspected measles is admitted. Which precaution is most important?

1. AAirborne precautions, ideally in a negative-pressure room
2. BContact precautions only, with gloves
3. CDroplet precautions in a shared bay
4. DNo special precautions once the rash appears

Which finding is expected in a healthy 4-month-old?

1. ASays two or three clear words with meaning
2. BHolds the head steady when held upright, with little or no head lag
3. CPulls to stand while holding on to furniture
4. DSits steadily without support for several minutes while playing with toys

Why are IV fluids for young children given with an infusion pump or a volume-control set?

1. ATo prevent accidental fluid overload
2. BTo allow the child to adjust the rate
3. CTo make the fluid warmer before it enters the vein
4. DTo remove bacteria from the fluid

A 5-year-old with leukaemia tells the nurse she is ill because she was naughty. What is the best response?

1. AReassure her clearly that nothing she did or thought made her ill
2. BAgree that being good may help her get better faster
3. CIgnore the remark, as she is too young to understand
4. DExplain the cell biology of leukaemia to her in detail

A 6-month-old has just learned to roll over. Which safety advice is most urgent now?

1. ATeach her not to touch the hot oven door
2. BTurn pan handles towards the back of the stove and fit a guard around the cooker
3. CNever leave her alone on a changing table, bed or sofa
4. DInstall locks on all kitchen cupboards and drawers