In Integrated Management of Childhood Illness, the nurse is aware that severe conditions generally require urgent referral to a hospital. Which of the following severe conditions DOES NOT always require urgent referral to a hospital?
a. Mastoiditis
b. Severe dehydration
c. Severe pneumonia
d. Severe febrile disease
Answer Key
The order of priority in the management of severe dehydration is as follows: intravenous fluid therapy, referral to a facility where IV fluids can be initiated within 30 minutes, Oresol or nasogastric tube. When the foregoing measures are not possible or effective, then an urgent referral to the hospital is done.
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#1. Jim Agustin a public health nurse will conduct outreach immunization in a barangay Metro Lapaz with a population of about 1500. The estimated number of infants in the barangay would be:
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#2. The community nurse is aware that the biological used in Expanded Program on Immunization (EPI) should NOT be stored in the freezer?
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#3. It is the most effective way of controlling schistosomiasis in an endemic area?
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#4. Several clients is newly admitted and diagnosed with leprosy. Which of the following clients should be classified as a case of multibacillary leprosy?
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#5. Nurses are aware that diagnosis of leprosy is highly dependent on recognition of symptoms. Which of the following is an early sign of leprosy?
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#6. RoseMarie Asuncion brought her 10 month old infant for consultation because of fever, started 4 days prior to consultation. In determining malaria risk, what will you do?
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#7. Jack Junas brought her 4 years old daughter to the RHU because of cough and colds. Following the IMCI assessment guide, which of the following is a danger sign that indicates the need for urgent referral to a hospital?
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#8. Jim Cabacungan a 2-year old child revealed “baggy pants”. As a nurse, using the IMCI guidelines, how will you manage Jim?
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#9. Sahil is using Oresol in the management of diarrhea of her 3-year old child. She asked you what to do if her child vomits. As a nurse you will tell her to:
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#10. Lautaru Caceres a 5-month old infant was brought by his mother to the health center because of diarrhea for 4 to 5 times a day. Her skin goes back slowly after a skin pinch and her eyes are sunken. Using the IMCI guidelines, you will classify this infant in which category?
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