Ajuda para tarefas de saúde pública

BOOKLET CODE: 012 17. A nurse wants to initiate feeding for 1.5kg neonate admitted in neonata intensive care unit. The infant had a very week sucking reflex and on risk for necrotized enterocolitis. What is the most appropriate initial step in this patient 's care? (A) Pouring the expressed breast milk via NG tube continuousl y as demanded (B) Inject 4 .Sml expressed breast milk using 10ml syringe at a time per feeding (C) Give bolus 3ml expressed breast milk via NG tube over 20-25 min per feeding (D)Give bolus the expressed breast milk using 10ml syringe over 5.-10min per feeding 18. A nurse assessed the progress of a two-year-old child who was on phase one management of severe acute malnutrition The child was improved clinically with an evidence of reduced edem to grade two and complications were completely treated. What is the most likely additional finding used to proceed to the transition phase? (A) The edema has to be reduced to grade for a day (B) The edema has to be lost completely for consecutive days (C) Improved appetite evidenced by finishing F-75 food easily (D) Improved appetite evidenced by finishing F-100 food easily 19. A 16-hour-old preterm neonate who was born at home was admitted to the NICU due to inability to feed and lethargy.On examination the neonate had body temperature of 36.2^circ C pulse rate 140/min and blood glucos level of 35mg/dl. What is the best nursing intervention to manage the neonate'problem? (A) Provide intravenous glucose (B) Put skin-to-skin with mother (C) Provide milk through NG tube (D) Warm the child using hot water bottle SUBJECT CODE: 02 A nurse who is giving immediate newborn care dries and stimulates the newborn Unfortunately the newhom do not cry. What is the most appropriate next step for this newborn? (A) Suck fluid from the nose (C) Observe and evaluate breathing (B) Bag and mask ventilation (D) Back rubbing and flicking soles A six-day-old neonate was admitted to a hospital for management of breathing difficulty. The neonate had spontaneous breathing at birth but breathing difficulty started on second day of birth and worsened on the fourth day. The neonate was put on Continuous Positive Airway Pressure Ventilation. What is the best and safest method of checking the progress of this neonate? (A) Pulse oximetry (C) Pulmonary function test (B) Blood gas analysis (D) Carbon dioxide monitoring

58.A 50-year-old dementia patient was admitted to a hospital. On assessment, he had forgetfulness, fluctuating mood and impaired decision making ability. His son is struggling to prevent him from removing the TV line. What is the most expected immediate outcome to be achieved after hours of intervention? (A) Improved memory (B) Reduced disturbance (C) Reduced mood fluctuation (D) Improved ability to make own decision

49. A 65-year-old patient from middle income family, with a diagnosis of dementia, was brought to a clinic by his daughter. She reports that despite she has been giving prescribed medication timely, his behavior is becoming worse. Currently, he lives alone and smokes three pieces of cigarette/day. What is the best predictor of risk for poor adherence in this patient? (A) Income (C) Substance use (B) No insight (D) Forgetfulness 50. A 55-year-old woman came to a clinic for psychiatric evaluation. At the start of the interview, she focuses on issues that the nurse consider irrelevant. What is the next best step that the nurse should follow? (A) Ask her if she understood what he is asking her (B) Guide the patient to come to direction of his point (C) Tell her he will give another time to talk the details (D) Listen for a while even things he doesn't want to hear

49. A 65-year-old patient from middle income family, with a diagnosis of dementia, was brought to a clinic by his daughter. She reports that despite she has been giving prescribed medication timely, his behavior is becoming worse. Currently, he lives alone and smokes three pieces of cigarette/day. What is the best predictor of risk for poor adherence in this patient? (A) Income (C) Substance use (B) No insight (D) Forgetfulness 50. A 55-year-old woman came to a clinic for psychiatric evaluation.At the start of the interview, she focuses on issues that the nurse consider irrelevant. What is the next best step that the nurse should follow? (A) Ask her if she understood what he is asking her (B) Guide the patient to come to direction of his point (C) Tell her he will give another time to talk the details (D) Listen for a while even things he doesn't want to hear

BOOKLET CODE:012 SUBJECT CODE: 02 12 47. A 17-year-old boy gets 5 mg of haloperido to control his aggression. After an hour of his first injection, he starts to experience brief contractions of muscles that result in obviously abnormal movements,tongue protrusion and difficulty of swallowing. What is the most likely diagnosis of the above patient? (C) Parkinsonism (A) Dystonia (D) Epilepsy (B) Akathesia A 19-year-old married woman, recently diagnosed with bipolar I disorder manic episode, came to a clinic crying loudly. Her nose bleed and there is visible laceration on her face. Her mother reports that her husband has beaten her due to her unacceptable behavior with other man. What is the priority nursing action for the above case? (A) Tell her she has to avoid such behavior in the future (B) Report to legal service unit for necessary investigation (C) Stop bleeding and reassure her she will be safe at hospital (D) Calm the patient and call her husband for further communication 49. A 65-year-old patient from middle income family, with a diagnosis of dementia, was brought to a clinic by his daughter. She reports that despite she has been giving prescribed medication timely, his behavior is becoming worse. Currently, he lives alone and smokes three pieces of cigarette/day. What is the best predictor of risk for poor adherence in this patient? (A) Income (C) Substance use (B) No insight (D) Forgetfulness 50. A 55-year-old woman came to a clinic for psychiatric evaluation. At the start of the interview, she focuses on issues that the nurse consider irrelevant. What is the next best step that the nurse should follow? (A) Ask her if she understood what he is asking her (B) Guide the patient to come to direction of his point (C) Tell her he will give another time to talk the details (D) Listen for a while even things he doesn't want to hear