A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma.
Which of the following of Erikson's developmental stages should the nurse consider in the planning?
Initiative vs. guilt
Autonomy vs. shame and doubt
Identity vs. role confusion
Industry vs. inferiority
The Correct Answer is B
A. Initiative vs. guilt primarily pertains to early childhood (around 3-6 years old) and focuses on developing a sense of purpose and the ability to initiate activities. It is not directly related to the situation of a 9-year-old child with asthma.
B. Autonomy vs. shame and doubt is a stage that occurs during the toddler years (around 1-3 years old). It involves developing a sense of independence and autonomy. While the child in this scenario is beyond the toddler stage, aspects of autonomy are still relevant, particularly in managing their asthma care at home.
C. Identity vs. role confusion is a stage that occurs in adolescence (around 12-18 years old). It involves the development of a sense of self and one's role in society. This is not directly relevant to the situation of a 9-year-old with asthma.
D. Industry vs. inferiority is a stage that occurs during middle childhood (around 6-11 years old). It is focused on developing a sense of competence and mastery in various skills. This stage is relevant to the situation as the nurse is planning home care for a 9-year-old child, which involves teaching them skills related to managing their asthma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Independently disposing of the remaining medication may not be in compliance with facility policies and could potentially interfere with an investigation into how the medication was left unattended.
B. Returning the medication to the unit's stock for future use is not appropriate, as the vial is already open and its integrity may be compromised.
C. Administering the medication to other clients is absolutely not an option. This could lead to serious harm or even fatal consequences for the other clients involved.
D. When a nurse discovers an open vial of medication left unattended, it is a serious safety concern. The nurse should report the discrepancy immediately to the appropriate personnel or supervisor. This ensures that the situation is addressed promptly and that necessary actions are taken to prevent potential harm to clients.
Correct Answer is B
Explanation
A. Incorrect. If the nurse administers the next bag at 1700, the current bag will run out before then, leaving the client without IV fluid for some time.
B. Correct. If the nurse administers the next bag at 1600, the current bag will have infused 750 ml by then, leaving 250 ml to infuse over the next hour. This will ensure a continuous and consistent infusion rate of 125 ml/hr.
C. Incorrect. If the nurse administers the next bag at 1500, the current bag will have infused only 625 ml by then, leaving 375 ml to infuse over the next hour. This will result in a faster infusion rate of 187.5 ml/hr, which may cause fluid overload or hyperglycemia in the client.
D. Incorrect. If the nurse administers the next bag at 1800, the current bag will run out before then, leaving the client without IV fluid for some time.
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