Which of the following statements by an eighteen-year-old best illustrates their developmental stage?

Choice A reason: This is not an appropriate intervention. Anger and aggression are not normal behaviors in preschoolers, regardless of their gender. They may indicate underlying emotional or developmental issues that need to be addressed.

Choice B reason: This is not an adequate intervention. Talking to the preschool teacher may provide some information about the child's behavior, but it does not address the root cause or offer any solutions. The nurse should collaborate with the teacher and the parents to develop a plan of care for the child.

Choice C reason: This is the most appropriate intervention. A professional psychosocial assessment can help identify the factors that contribute to the child's anger and aggression, such as family stress, trauma, mental health problems, or learning difficulties. The assessment can also provide recommendations for treatment and support for the child and the family.

Choice D reason: This is not a helpful intervention. Consistent and firm discipline is important for any child, but it may not be enough to change the child's behavior if there are other underlying issues. Moreover, harsh or punitive discipline may worsen the child's anger and aggression. The parent should be encouraged to use positive reinforcement, empathy, and problem-solving skills with the child.

Choice A reason: This is not a correct statement, as delaying dental visits until the child's heart defect is fully repaired is not advisable. Dental visits are important for maintaining oral hygiene and preventing dental caries, which can increase the risk of infective endocarditis. The child should have regular dental check-ups and follow the dentist's recommendations for oral care¹.

Choice B reason: This is not a correct statement, as administration of daily prophylactic antibiotics is not recommended for prevention of infective endocarditis. Daily antibiotics can cause adverse effects, such as allergic reactions, diarrhea, or yeast infections. They can also lead to antibiotic resistance, which can make the treatment of infective endocarditis more difficult².

Choice C reason: This is the correct statement, as administration of antibiotics one hour prior to any dental procedure is recommended for prevention of infective endocarditis. Dental procedures can cause bleeding and release bacteria into the bloodstream, which can infect the damaged heart valves or tissues. Antibiotics can help prevent or reduce the bacterial growth and prevent infective endocarditis¹².

Choice D reason: This is not a correct statement, as high dose IV antibiotics for 29 weeks is not a preventive measure, but a treatment option for infective endocarditis. IV antibiotics are given to eradicate the infection and prevent complications, such as heart failure or stroke. The duration of treatment depends on the type and severity of the infection, but it usually ranges from 4 to 6 weeks²³.