Nokea
After 3 days, the nurse notes that James has chest indrawing and stridor. His mother returned him to the health center immediately. The nurse should:
- A. Change the medication to the second-line antibiotics
- B. Advise the mother to observe the child and continue giving the antibiotics
- C. Give the first dose of antibiotics and refer urgently
- D. Observe the child at the center
Correct Answer: C
Rationale: The correct answer is C because chest indrawing and stridor indicate respiratory distress, which can be life-threatening. Giving the first dose of antibiotics and referring urgently ensures prompt assessment and appropriate management by a higher-level healthcare provider. Changing medication without proper assessment (choice A) can delay necessary treatment. Advising to continue antibiotics (choice B) overlooks the urgency of the situation. Observing the child at the center (choice D) is not sufficient for managing respiratory distress.
You may also like to solve these questions
What term is used for the statistics of disease and death?
- A. Vital statistics
- B. Statistics
- C. Morbidity
- D. Mortality
Correct Answer: A
Rationale: The correct answer is A: Vital statistics. Vital statistics refer to the statistical data related to births, deaths, marriages, and health. This term encompasses the statistical analysis of disease and death rates within a population. Morbidity (choice C) specifically refers to the prevalence of illness or disease in a population, while mortality (choice D) refers to the incidence of death. Statistics (choice B) is a general term and does not specifically address the statistics of disease and death. Therefore, vital statistics (choice A) is the most appropriate term for the statistics of disease and death.
James is an 18-month-old child who has had a cough for 7 days with no general danger signs. He has a temperature of 37.5°C and a respiratory rate of 41 breaths/minute. How will you classify James' breathing?
- A. Slow breathing
- B. Fast breathing
- C. Normal breathing
- D. Very fast breathing
Correct Answer: C
Rationale: The correct classification for James' breathing is "C: Normal breathing." The respiratory rate for a child of his age should be between 20-30 breaths/minute. Since James has a respiratory rate of 41 breaths/minute, it may seem elevated. However, it is important to consider that children under 2 years often have higher respiratory rates compared to older children and adults. In the absence of other danger signs such as chest in-drawing, grunting, or stridor, a respiratory rate of 41 breaths/minute in an 18-month-old child with a cough does not necessarily indicate very fast breathing. Therefore, James' breathing is classified as normal based on his age group and the absence of other concerning signs.
Summary:
A: Slow breathing - Incorrect, as James' respiratory rate is elevated, not slow.
B: Fast breathing - Incorrect, as James' respiratory rate does not meet the criteria for very fast breathing.
D: Very fast breathing - Incorrect
Which of the following is NOT an example of public health services?
- A. Control of communicable diseases
- B. Environmental sanitation
- C. Hospital management
- D. Health education
Correct Answer: C
Rationale: The correct answer is C: Hospital management. Public health services focus on preventing diseases and promoting community well-being, which do not directly involve managing individual healthcare institutions like hospitals. Control of communicable diseases, environmental sanitation, and health education are examples of public health services as they involve disease prevention, creating healthy environments, and educating the public on health-related issues. Hospital management, on the other hand, pertains to the administration and operation of healthcare facilities, which is not a core function of public health services.
Conditions that promote disease or injury and prevent people from realizing their health potential are termed as:
- A. Aggregate of people
- B. Health threats
- C. Health need
- D. Foreseeable crisis
Correct Answer: B
Rationale: The correct answer is B: Health threats. Health threats refer to conditions that can cause disease or injury and hinder individuals from achieving their optimal health. This term encompasses various factors such as environmental hazards, lifestyle choices, and genetic predispositions. Choosing A (Aggregate of people) is incorrect because it refers to a group of individuals rather than specific conditions affecting health. Option C (Health need) is incorrect as it focuses on the necessity for healthcare services rather than the factors causing disease. Option D (Foreseeable crisis) is incorrect as it does not specifically address the conditions hindering health potential. Thus, B is the correct answer as it directly relates to the concept of promoting disease and injury prevention.
Which of the following is an example of a communicable disease?
- A. Diabetes
- B. Hypertension
- C. HIV/AIDS
- D. Cholera
Correct Answer: D
Rationale: The correct answer is D: Cholera. Cholera is a communicable disease caused by the bacterium Vibrio cholerae, transmitted through contaminated food or water. It spreads easily from person to person. Diabetes (A) and Hypertension (B) are non-communicable diseases related to lifestyle and genetics. HIV/AIDS (C) is a communicable disease, but Cholera is a more direct example as it is primarily spread through contaminated water sources.