Kuesioner Keperawatan Anak

Seorang anak laki-laki berusia 3 tahun dibawa oleh ibunya ke rumah sakit dengan keluhan batuk selama 1 bulan. Penilaian ibu menunjukkan bahwa anak tersebut sering mengalami demam ringan, berat: 9 kg, tinggi: 90 cm, detak jantung: 90 kali/menit, laju pernapasan: 42 napas/menit, suhu 37,5°C, suara napas terdengar mengi, ayah pasien memiliki penyakit paru-paru dan telah menjalani pengobatan selama 6 bulan. Penilaian lebih lanjut apa yang harus dilakukan perawat?

• Uji Mantoux

• Rontgen Dada

• Pemeriksaan BTA

A 3-year-old boy was brought by his mother to the hospital with a complaint of cough for 1 month. The mother's assessment indicates that the child often experiences low-grade fever, weight: 11 kg, height: 100 cm, heart rate: 90 beats/min, respiratory rate: 42 breaths/min, temperature 37.5°C, breath sounds are wheezing, there is sputum, the father of the patient has lung disease and has been undergoing treatment for 6 months. What is the main nursing problem in this case?

• Ineffective breathing pattern

• Ineffective airway clearance

• Nutritional deficit

A 3-year-old boy was brought by his mother to the hospital with a complaint of cough for 1 month. The mother's assessment indicates that the child often experiences low-grade fever, the child appears fussy, weight: 11 kg, height: 100 cm, heart rate: 90 beats/min, respiratory rate: 42 breaths/min, temperature 37.5°C, breath sounds are wheezing, there is sputum, the father of the patient has lung disease and has been undergoing treatment for 6 months. What nursing interventions should be based on the main nursing problem in this case?

• Administer oxygen

• Perform chest physiotherapy

• Position the patient to maximize ventilation

A 5-year-old boy was brought by his mother to the community health center with a complaint of cough for 1 month. The mother's assessment indicates that the child often experiences low-grade fever, weight: 11 kg, height: 100 cm, heart rate: 90 beats/min, respiratory rate: 42 breaths/min, temperature 37.5°C, breath sounds are wheezing, had close contact with a grandfather suffering from pulmonary TB. The nurse performed an examination on the child and obtained a score of 5. What should be the next action taken for this child?

• Observe symptoms for 2 weeks

• Re-evaluate the possibility of pulmonary TB diagnosis

• Collaborate for the administration of anti-tuberculosis medication

A 2-year-old girl was brought by her mother to the emergency department with complaints of cough and fever for 5 days.

A 2-year-old girl is brought to the ER with complaints of cough and fever for 5 days. Examination results show a pulse of 134 bpm, respiratory rate of 56 bpm, temperature of 38.5°C, SpO2 of 92%, and inward retraction of the chest wall. What type of pneumonia does the child have?

• Mild pneumonia

• Severe pneumonia

• Cough not pneumonia

A 2-year-old girl is brought to the ER with complaints of cough and fever for 5 days. Examination results show a pulse of 134 bpm, respiratory rate of 56 bpm, temperature of 38.5°C, SpO2 of 92%, and inward retraction of the chest wall. What is the initial action of the nurse in this case?

• Administer antibiotics

• Administer oxygen 5 L

• Administer oxygen 1-4 L/min

A 2-year-old girl is brought to the ER with complaints of cough and fever for 5 days. Examination results show a pulse of 134 bpm, respiratory rate of 56 bpm, temperature of 38.5°C, SpO2 of 92%, and inward retraction of the chest wall. What is the nursing problem in this case?

• Gas exchange impairment

• Ineffective breathing pattern

• Ineffective airway clearance

A 1-year-old girl is diagnosed with COVID-19 with mild symptoms. The nurse performs care actions for the child. What is the main action in this case?

• Oxygen therapy

• Nutritional support via OGT

• IV therapy

A 1-year-old girl is confirmed positive for SARS COV-2. The nurse performs care actions for the child. What is the action in this case?

• Antibiotic therapy

• Negative pressure isolation for 14 days

• Symptomatic management