Utilizing Bronfenbrenner's ecologic theory of development, the ...

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Utilizing Bronfenbrenner's ecologic theory of development, the nurse caring for a child would discuss the parents' work environment as part of an assessment of that child's:
 
  1. Chronosystem.
  2. Mesosystem.
  3. Macrosystem.
  4. Exosystem.

Question 2

A 10month-old infant is seen in the emergency department for a heart rate of 226 beats per minute. Supraventricular tachycardia is diagnosed.
 
  The emergency department nurse will prepare to assist with which possible treatments? Standard Text: Select all that apply. 1. Administration of intravenous adenosine (Adenocard)
  2. Administration of intravenous amiodarone (Cardarone)
  3. Preparation for cardioversion
  4. Application of ice to the face
  5. Having the child perform a Valsalva maneuver

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Answer to Question 1

4
Rationale 1: The chronosystem involves the perspective of time in the child's life.
Rationale 2: The relationships of one microsystem to another involve a child's mesosystem.
Rationale 3: Political and cultural beliefs comprise a child's macrosystem.
Rationale 4: A child's exosystem is composed of the settings that influence a child even though she is not in daily contact with that system.
Global Rationale:

Answer to Question 2

1,2,3,4
Rationale 1: Adenosine or amiodarone may be given when vagal maneuvers are unsuccessful. Cardioversion is used in an urgent situation.
Rationale 2: Adenosine or amiodarone may be given when vagal maneuvers are unsuccessful. Cardioversion is used in an urgent situation.
Rationale 3: Adenosine or amiodarone may be given when vagal maneuvers are unsuccessful. Cardioversion is used in an urgent situation.
Rationale 4: Supraventricular tachycardia episodes are initially treated with vagal maneuvers to slow the heart rate including the application of ice or iced saline solution to the face to reduce the heart rate.
Rationale 5: A 10-month-old child cannot be instructed to hold her breath and bear down as with a bowel movement.
Global

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TYSM

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Excellent