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Match each of the life stages below to the sentence that best describes it. an answer may be used more than once. young people establish an identity separate from that of their parents and turn to peers for support and acceptance; rejection by peers poses a major threat to adjustment. some common threats to adjustment include children leaving home, physical changes that require one to slow down, and failure to meet earlier goals. gross motor, fine motor, and language skills develop rapidly; changes in family schedule or child-care professional can create anxiety. those who are financially secure and reasonably healthy may enjoy retirement, travel, and socializing; others may find the loss of friends, a job, and financial instability frightening. children who have developed their physical, intellectual, and social skills are able to adjust to new situations, but children who lack basic skills can be threatened by school pressures and conflicts with others. new experiences and responsibilities include beginning college or a job, establishing a home, marrying, and starting a family. separation anxiety can occur when a child enters a new day care facility or school. the child may cry, claim to be sick, or beg to go home. a. early childhood b. middle childhood c. adolescence d. young adulthood e. middle adulthood f. senescence

The parents of a 9-year-old girl bring their daughter to the ed. for the last 12 hours, the child has suffered severe nausea and vomiting, as well as diarrhoea and abdominal cramps. further discussion with the child indicates that she suffers from blurred vision and headache. the parents originally were worried about bringing the child to the ed because they feared deportation since the family are illegal immigrants employed to pick strawberries on a nearby farm. on direct questionning, the parents admit that the child was assisting with spraying crops with pesticides the previous day. none of the family members was wearing any protecting clothing. her bp is 88/48 mmhg, pulse is 90/min, rr 33/min, temp 38 c. the child appears sweaty and confused. auscultation of the lungs reveals a diffuse wheeze bilaterally. pupils are miotic and the child has diffuse muscle weakness. which of the following interventions is the most appropriate treatment? - atropine- charcoal- glucagon- naloxone- exposure: consider organophosphate poisoning, which inhibits cholinesterase and results in accumulation of ach in both muscarinic and nicotinic sites. pralidoxime activates achatropine competes with ach only at muscarinic receptors, but will not reverse nicotinic effectscharcoal = gastric decontaminationglucagon = reverse beta-blocker overdosenaloxone = reverse effects of opioids

A62-year-old man is being treated for an acute myocardial infarction. he originally came to the ed with substernal chest pain and diaphoresis. given his risk factors of hypertension, diabetes, tobacco use, and family history, he is considered high risk. an ecg in the ed reveals a left-bundle branch pattern, and cardiac enzymes are elevated slightly. after a focused evaluation in the ed, the patient receives iv thrombolytics. although his bundle branch pattern never resolves, the patient is chest pain-free and haemodynamically stable after thrombolysis. two days later, however, the patient reports episodes of recurrent chest discomfort and shortness of breath overnight. in evaluating for potential myocardial reinfarction, which of the following is the most appropriate diagnostic test? - creatinine kinase- dynamic ecg changes- lactate dehydrogenase- myoglobin levels- troponin i level