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Which stage of Erikson's theory would the nurse explain describes the development of a preschooler?

Identity versus role confusion

Autonomy versus sense of shame and doubt

Initiative versus guilt

Trust versus mistrust

Answer and Explanation

The Correct Answer is C

A. Identity versus role confusion is typically associated with adolescence.

B. Autonomy versus a sense of shame and doubt is associated with the toddler years.

C. Initiative versus guilt.

Erikson's theory of psychosocial development includes various stages, and each stage corresponds to a specific age range and a unique psychosocial challenge. The preschool age group, typically from around 3 to 6 years old, is associated with the stage of "Initiative versus guilt." During this stage, children begin to explore their environment, take on new challenges, and start to develop a sense of initiative. They seek to make choices, set goals, and make plans, which is a crucial aspect of their development during the preschool years. However, if their efforts are met with excessive criticism or control, they may develop feelings of guilt.

D. Trust versus mistrust is associated with infancy.

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Correct Answer is C

Explanation

A. Shunted past the pulmonary circulation, causing pulmonary hypoxia: This option is not the primary reason for dyspnea in PDA. While there is shunting, it doesn't directly cause pulmonary hypoxia.

B. Circulated through the lungs again, causing pulmonary circulatory congestion: This option is partially correct but does not address the primary reason for dyspnea, which is the bypassing of the left side of the heart.

C. Circulated through the ductus from the pulmonary artery to the aorta, bypassing the left side of the heart.

In patent ductus arteriosus (PDA), a fetal blood vessel called the ductus arteriosus fails to close after birth. This allows oxygenated blood from the left atrium to be shunted directly from the aorta to the pulmonary artery, bypassing the normal route through the left side of the heart and into the systemic circulation. The shunting of oxygenated blood back into the pulmonary circulation can lead to increased pulmonary blood flow and circulatory congestion, causing symptoms such as dyspnea.

D. Shunted past cardiac arteries, causing myocardial hypoxia: PDA primarily affects the pulmonary circulation and left side of the heart, not the coronary arteries. Myocardial hypoxia is not the primary mechanism of dyspnea in PDA.

A. Obtain a throat culture. B. Visualize the epiglottis with a tongue depressor C. Place the child in an upright position D. Transport the child to radiology for a throat x-ray

Correct Answer is C

Explanation

A. Obtaining a throat culture and B. visualizing the epiglottis with a tongue depressor are not safe actions for the nurse to perform without appropriate medical equipment and expertise. These actions can trigger a sudden airway obstruction in a child with epiglottitis. The priority is to ensure airway patency and seek immediate medical assistance.

C. Place the child in an upright position.

Suspected epiglottitis is a medical emergency that can result in rapid airway obstruction. Placing the child in an upright position helps improve airflow by allowing the throat to open and reduces the risk of complete airway obstruction. It's important not to perform invasive procedures (such as throat culture or visualization of the epiglottis) without proper medical equipment and expertise, as these actions can lead to worsening airway obstruction.

D. Transporting the child to radiology for a throat x-ray is not appropriate in this situation, as it may delay necessary interventions to secure the airway.

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Which stage of Erikson's theory would the nurse explain describes the development of a preschooler?

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