Quiz 10: Management of neurological, nutritional and skin symptoms
Please choose the one, most correct answer to each question or statement.
- What are common signs of anxiety in a child?
- A skin rash and itch
- Weight loss and vomiting
- Change in sleeping patterns and nightmares
- Bradycardia and hypotension
- What is an important cause for anxiety?
- Over exertion
- Pain
- Malnutrition
- Anaemia
- Younger children’s anxiety can be relieved by:
- Distraction methods such as playing
- Anti-depressants only
- Changing their diet
- Encouraging them to sleep more
- What are common signs of depression in a child?
- Poor coordination and slow movements
- Not being willing to share their toys
- Withdrawal, sadness and lack of energy
- Defiance and tantrums
- How can you best assess if a young child is depressed?
- Ask them if they are depressed
- Ask their parents if they think their child is depressed
- Observe them for signs of depression
- Use a pain chart to assess their behaviour
- Fatigue is described by children as:
- Being sad
- Being tired and having no energy
- Being lonely
- Having a headache
- How is fatigue managed?
- Using oral corticosteroids
- Adding extra protein to their diet
- Encouraging them to participate in very physical activities
- Providing psychosocial and emotional support
- What is anorexia?
- Rapid weight gain
- Loss of appetite
- Abdominal distension after meals
- Profound loss of weight
- What is cachexia?
- A skin rash with blisters
- Severe wasting
- A form of severe depression
- A common type of cancer
- What is a cause of pruritis (itchy skin)?
- Eating too many sweets
- Fever
- Dry skin
- Candidiasus
- Pruritus that is caused by opioid use can be relieved by:
- Oral antihistamines
- Topical anti-pruritic cream
- Opioid switching
- A skin moisturiser
- Children who are at risk of developing pressure sores include:
- Children who play a lot of sport
- Adolescents who do no exercise
- Children with Down syndrome
- Children who are immobile and bedridden
- Where are pressure sores likely to develop on a baby’s body?
- Heels
- Back
- Sacrum
- Back of the head (occiput)
- Pressure sores can be prevented by:
- Turning the immobile child regularly
- Effective pain management
- Massaging the pressure areas
- Referring the child to a wound specialist
- To control bacterial growth in septic wounds
- Use dressings that contain adrenaline 1:1000
- Use Bactigras dressings
- Use silver sulphadiazine cream or silver dressings
- Use maggots
- Malodour in wounds is caused by
- Anaerobic bacteria in the dead tissue
- Not cleaning and dressing the wounds three times a day
- Overuse of antibiotics
- Dressings that are not absorbent
- Metronidazole gel applied to a fungating tumour is used to:
- Control the exudate
- Control the necrosis
- Control the odour
- Control the infection from spreading
- What environmental measures can be used to control odour?
- Toilet sprays and perfumes
- Disinfectants
- Keeping the doors closed to prevent odour entering passages and other rooms
- Peppermint or vanilla oils placed in the room
- What can malodourous fungating wounds cause?
- A child to be put in an isolation ward
- Feelings of disgust, embarrassment and guilt
- Septicaemia
- Feelings of euphoria
- When treating a malodorous wound, a healthcare worker needs to be very aware of:
- Their own body language and facial expressions
- The time it takes to do the dressings
- Becoming infected herself
- The costs involved when changing dressings often