The nurse identifies improved social skills as an important therapeutic goal for client with history of schizophrenia experiencing acute psychosis with active hallucinations and should the nurse implement this plan through social support treatment.
Schizophrenia is a serious disturbance during which folks interpret reality abnormally. dementia praecox could lead to some combination of hallucinations, delusions, and intensely disordered thinking and behavior that impairs daily functioning, and may be disabling. Folks with dementia praecox need long treatment.
In acute psychosis, the organic of symptoms is indicated by a quickly unsteady course, the presence of visual hallucinations and absence of mood congruent delusions. Numerous differential diagnoses for psychotic behavior in old are often useful psychotic disorders and psychoses secondary to organic disease.
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the nurse is conducting discharge teaching for a client who is being discharged from the emergency department after an anaphylactic reaction to peanuts. which education should the nurse include in the teaching? select all that apply.
Avoiding allergens and Wearing a medical alert bracelet can be the education should the nurse include in the teaching.
The most serious allergic response to peanuts is anaphylaxis, a potentially fatal reaction involving the entire body. Impaired breathing, throat swelling, a sharp drop in blood pressure, pale skin or blue lips, fainting, and dizziness are a few symptoms that can occur.
Even minute amounts of peanuts can trigger a severe reaction in some people with peanut allergies, which could even be life-threatening. Children's sensitivity to peanuts is on the rise.
A flood of immune system chemicals is released during anaphylaxis, which can result in shock, a drop in blood pressure, and constricted airways that prevent breathing. A skin rash, a rapid, weak pulse, nausea, and vomiting are all warning signs and symptoms.
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a client presents to your office with: double vision, inability to produce words, and difficulty swallowing. what is the most appropriate form of care?
A client presents to your office with: double vision, inability to produce words, and difficulty swallowing is facing Myasthenia gravis.
How to care the patients of myasthenia gravis?Medications: Anti-cholinesterase agents increase communication between neurons and muscles to increase muscle strength. Corticosteroids and other immunosuppressants diminish aberrant antibody production and inflammation in your body.You receive intravenous (IV) infusions of biologically designed proteins known as monoclonal antibodies. These proteins reduce the immune system's overreaction.IV immunoglobulin (IVIG): Over the course of two to five days, you get IV infusions of donor antibodies. Both myasthenia crises and global MG can be treated with IVIG.An IV line is used to eliminate aberrant antibodies from your blood during plasma exchange (plasmapheresis).Surgery: The thymus gland is removed during a thymectomy. Even if tests reveal no issues with your thymus gland, surgical removal of the gland can sometimes help symptoms.To know more about Myasthenia gravis, visit:
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a patient informs the nurse that every time she sneezes or coughs, she urinates in her pants. what type of incontinence does the nurse recognize the patient is experiencing?
The patient is experiencing stress incontinence with the sign that every time she sneezes or coughs, she urinates in her pants.
What is stress incontinence?The inadvertent loss of pee is known as urinary incontinence. When you cough, laugh, sneeze, run, or do heavy lifting, the strain (stress) on your bladder causes you to leak urine. This condition is known as stress incontinence.
Urgency incontinence and hyperactive bladder are distinct from stress incontinence (OAB). A sudden urge to urinate occurs before you can reach the restroom if you have urgency incontinence or OAB because your bladder muscle spasms. Women have stress incontinence far more frequently than do males.
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the nursing instructor is going over laboratory results for patients with hiv/aids. the instructor tells the students that, upon interpretation of a patient's laboratory results, the nurse should recognize that a patient with hiv is considered to have aids when the cd4 t-lymphocyte cell count drops below what level?
The nurse should be aware that if the cd4 t-lymphocyte levels fall below 200 cells/mm3 of blood, then patient is determined to have aids.
What is the function of lymphocyte cells?Your immune system uses lymphocytes to combat cancer and invading viruses and germs (antigens). The immune system benefits from lymphocytes' assistance for retaining every antigen it encounters. Some lymphocytes develop to memory elements after an encounter.
What is lymphocyte cell?A particular immune cell subset that is produced in the marrow and therefore is present in both the blood and lymph tissue. B lymphocytes & T lymphocytes are the two primary types of lymphocytes. T lymphocytes aid in the management of immune responses and the killing of tumor cells, whereas B lymphocytes produce antibodies.
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an older adult client has been prescribed ciprofloxacin (cipro), a fluoroquinolone antibiotic, for treatment of a urinary tract infection (uti). when reviewing the client's history, the health care practitioner notes that this client currently takes magaldrate (aluminum-magnesium complex [riopan]), an antacid for acid indigestion. what should the health care practitioner educate this client about taking these two medications concurrently?
The health care practitioner should educate the client by telling him that the Cipro should not be taken within two hours of taking antacids.
What are Antacids?
Antacids are medications that counteract (neutralize) stomach acid to relieve indigestion and heartburn.
Antacids help in the following:
1. Indigestion
2. Heartburn or acid reflux
3. a stomach ulcer
4. Gastritis
They can provide temporary relief for your symptoms. However, they do not address the underlying cause, and long-term use is not advised.
Antacids should be used when you have symptoms or suspect you will soon develop them; for most people, the best time to take them is with or shortly after meals, and just before going to bed.
Antacids can impair the effectiveness of other medications, so avoid taking them within 2 to 4 hours of taking an antacid.
While you can drink alcohol while taking antacids, it can irritate your stomach and worsen your symptoms.
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the nurse is teaching crutch walking to a client with a fractured lower leg with a non weight bearing cast. which crutch gait would be most appropriate for the nurse to teach?
The client should learn how to train their triceps, finger flexors, and elbow extensors from the nurse.Crutches are devices that help people stand up when pressure can’t be applied to their feet.
Crutches are necessary for injuries to the legs, such as broken feet and ankles, ACL tears, knee and ankle sprains, hip dislocations, and Achilles tendon injuries.Walking without placing pressure on the affected limb, in this case the leg, is known as non-weight bearing with crutches.The muscles that were indicated as needing workout are on hand. The exercise is suggested to prevent its injury because the weight is moved to the hand.The client must be taught how to move by the nurse.Loose rugs taken from their surroundings. Being a patient one of the primary danger factors for clutches is slippage in their surroundings, which could give their body further harm or reverse the existing damage they had already received therapy for their fibula and tibia.
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timmy is an 8-year-old baseball player who recently suffered a simple fracture in his distal tibia. the doctor is concerned that it is near his epiphyseal plate. why is this a concern?
According to the research, the correct answer is that the doctor is concerned that the fracture is near his epiphyseal plate because they are areas of developing cartilage that are at the ends of the long bones.
What is epiphyseal plate?It is the growth plate located between the diaphysis and the epiphyses that regulates and helps determine the length and shape of mature bone.
In this sense, they are part of the bones that ossify, these being vulnerable to fractures in children, so it is necessary for the bone to receive the appropriate treatment before beginning to form the bone union callus.
Therefore, we can conclude that the epiphyseal plate is the so-called growth plate and it will allow the bone to continue forming to grow and lengthen.
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the nurse asks the parents of a child about the family health history. the father asks the nurse why she needs his information. the nurse would explain that the family health history is gathered for what reason?
A family medical history is a collection of a person's and their immediate family members' health information.
What does a nurse do?Nurses treat wounds, give medication, perform regular physicals, take thorough medical histories, monitor blood pressure and heart rate, run diagnostic tests, handle medical equipment, take blood samples, and admit and discharge patients in accordance with doctor's orders.
Is nursing a simple profession?Keeping up with those 14-hour shifts demands both mental and physical endurance, making nursing a challenging career. Even in the midst of a flurry of activity, you might discover yourself thriving if you love what you do and are certain of the positive influence it has on each patient's life.
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during a family meeting, parents express concern about their adult daughter who has a diagnosis of bipolar disorder and has been using clonazepam, which was purchased from her friends. what is the best statement for the nurse to say to the client after hearing this information?
"Let's talk about a support group for you to attend." is the best statement for the nurse to say to the client after hearing this information.
How does a bipolar individual behave?Both episodes of severe depression and moments of mania—overwhelming joy, excitement, or happiness—occur in people with bipolar disorder. These phases are characterized by enormous energy, a decreased need for sleep, and lowered inhibitions. Bipolar disorder is a very personal experience. Nobody's experience is ever precisely the same twice.
Are clonazepam and Xanax interchangeable terms?Generic names: The medication names Xanax and Klonopin are both generic names. Although both Klonopin and Xanax are benzodiazepines, Xanax is the brand name for alprazolam and Klonopin is the name for clonazepam.
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skye is pregnant yet she still has four alcoholic drinks each day. her baby may be at increased risk for the development of .
Her baby may be at increased risk for the development of fetal alcohol syndrome
What is fetal alcohol syndrome ?If your mother drank alcohol while she was pregnant, you could develop a collection of illnesses known as foetal alcohol spectrum disorders. Adults with FASDs are more likely to develop psychiatric and personality disorders, issues with drugs and alcohol, and legal issues. Additionally, they are less likely to graduate, find stable employment, and live independently.
Although there is no treatment for FASDs, evidence indicates that early intervention services can help a child's development. Early intervention services aid in the development of critical abilities in children from birth to 3 years old (36 months). Therapy is one of the services offered to assist the youngster walk, communicate, and engage with others.Learn more about Fetal alcohol syndrome here:
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an older adult client suffering from shingles reports sharp, stabbing, burning pain that suddenly occurs from the back around to the sides. which action will the nurse take to support this client?
The condition of the older client is called Neuropathic .
What is Neuropathic ?Neuropathic pain is characterized as sharp, stabbing, searing, tingling, with a quick onset of high intensity and results from an aberrant processing of sensory stimuli by the central or peripheral nerve system. Mechanical, thermal, or chemical noxious stimuli that reach the A-delta and C afferent nociceptors cause nociceptive pain.
Weakness, numbness, and pain are common symptoms of peripheral neuropathy, which develops when the peripheral nerves, which are located outside of the brain and spinal cord, are damaged. These symptoms typically affect the hands and feet. Additionally, it may have an impact on many bodily processes like digestion, urine, and circulation.
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a client with posttraumatic stress disorder (ptsd) is having a flashback experience of a traumatic event. the client asks the nurse if the client can hold the nurse's hand. what should the nurse interpret from this behavior?
A flash is a visceral experience where you relive parts of a distressing incident or have the impression that it is now taking place.
Which of these three trauma types are they?Trauma can be classified as either acute, recurrent, or complex. The effect of a single event is acute trauma. Trauma that is chronic is recurring and lasts a long time, like domestic abuse or violence. Exposure to several and numerous traumatic situations, frequently of an intrusive, interpersonal kind, is known as complex trauma.
How long do post-traumatic effects last?The illness progresses in different ways. Some people's symptoms go away in six months, but others still experience them. In some people, the issue might eventually become chronic. a medical specialist, such as a psychiatrist, who has experience treating people with mental health issues
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a 33-year-old client has been treated for a periorbital hematoma and a broken nose that the client suffered when the client's spouse struck the client. the client does not know where the spouse currently is, and the client is scheduled for discharge. what action should the care team prioritize in this client's care?
The nurse is speaking with such a client who may have experienced violence from a partner as she notices that the client frequently texts.
What is a word for suffered?The words tolerate, abide, bear, endure, and stand are some popular synonyms for suffer. All of these phrases refer to "putting up with something difficult or painful," yet suffer frequently connotes passivity or acceptance rather than bravery or endurance.
What does suffered mean in the Bible?A byproduct of the fall and an outcome of human sin before God is suffering. You experience suffering because the society is broken in which we live. While part of human suffering results from our wicked and poor decisions, some of it is just the result of the universe being fallen.
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a nurse is caring for a client after a thoracotomy for a lung mass. what part of the client's care is the priority for the nurse?
Impaired gas exchange should be the nurse's main priority with a client who has undergone a thoracotomy.
What is thoracotomy?A thoracotomy involves cutting between the ribs to expose and provide access to the lungs or other organs in the chest or thorax. The right or left side of the chest is frequently opened during a thoracotomy. The breast bone on the front of the chest can be cut through, however it is uncommon. The procedure known as a thoracotomy allows doctors to see, sample, or remove tissue as needed in order to diagnose or treat disorders. The patient is put to sleep so that a thoracotomy can be performed. A mid-back epidural catheter may be inserted to relieve discomfort before surgery.
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the nurse is providing education to a group of healthy older adults. which nursing recommendation best promotes client safety in an independent living environment? suggest a high-fiber, low-fat diet encourage exercise that improves balance and muscle strength restrict consumption of liquids before bedtime provide a pamphlet on maintaining healthy sleep habits
The nurse is providing education to a group of healthy older adults and recommendation which best promotes client safety in an independent living environment is encourage exercise that improves balance and muscle strength.
Many aging people enjoy cluster exercise as a result of it's low impact, using movements that do not place excess stress on bones and joints. Studies recommend that high-impact aerobic exercises like running might increase a human risk of developing pathology later in life.
Exercises for older adults include water aerobics, resistance band workouts, walking, du.mb-bell strength training, jogging, chair yoga, pil-ates, moderate intensity activity such as br.isk walking, and body weight workouts.
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one frequently cited, successful model of pharmacist services for patients with diabetes is referred to as the:
The major objective of the best drug treatment for diabetes mellitus is to raise and keep blood sugar levels normal.
What kind of medical care is given to people with type 2 diabetes the most frequently?Most patients who are newly diagnosed with type 2 diabetes will start taking a medication called metformin right away (sample brand names: Glucophage, Glumetza, Riomet, Fortamet). Your body responds better to insulin while taking metformin, which lowers high blood sugar levels.
Your blood glucose level is checked to diagnose and treat diabetes. Your blood glucose level may be determined by three tests: an A1c test, a random glucose test, and a fasting glucose test.
Despite the fact that type 1 and type 2 diabetes are not often diagnosed in the same patient
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a physician orders 200 mcg of atriopine sulfate IM stat and then every hour until poisoning symptoms subside how many doses are in one 20mL vial of atropine sulfate injection 400mcg
A physician orders 200 mcg of atropine sulfate IM stat and then every hour until poisoning symptoms subside. 2 doses are in one 20mL vial of atropine sulfate injection 400 mcg.
What are the functions of atropine sulfate injections?Atropine Sulfate Injection is used: as a preoperative medication for the reduction of salivary and bronchial secretions. during cardiopulmonary resuscitation to treat sinus bradycardia or asystole.
Atropine reduces secretions in the mouth and respiratory passages, relieves the constriction and spasm of the respiratory passages, and may reduce the paralysis of respiration, which results from actions of the toxic agent on the central nervous system.
It is used in emergency situations when the heart beats too slowly, as an antidote to for example organophosphate insecticide or nerve gas poisoning and in mushroom poisoning.
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a nurse is teaching a client diagnosed with an eating disorder about behavior-modification programs. why is this the intervention the treatment of choice?
what intervention is appropriate for a client with sarcoidosis? lymph node radiation antihistamines antifungal agents corticosteroids
According to the given information corticosteroids intervention is appropriate for a client with sarcoidosis.
How does a person get sarcoidosis?Doctors are unsure of what exactly causes sarcoidosis. It appears that certain people are genetically predisposed to the illness, which can be brought on by germs, viruses, dust, or chemicals. Small areas of swollen tissue called granulomas develop in the body's organs as a result of the uncommon disorder sarcoidosis.
Is sarcoidosis a dangerous disease?Sarcoid is a chronic illness that affects a tiny percentage of persons. The disease may cause the damaged organ to deteriorate in certain individuals. Sarcoidosis can occasionally be lethal. Usually, problems with the heart, lungs, or brain lead to death.
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a client with alcohol dependence problem asks whether the nurse can see the bugs that are crawling on the bed. what is the nurse's initial reply?
I don't notice any bugs, so no. This is when a person is diagnosed with Alcohol use disorder (AUD).
Alcohol use disorder (AUD) is a medical illness marked by a decreased capacity to reduce or control alcohol consumption in the face of negative social, professional, or health effects. The terms "alcohol abuse," "alcohol dependence," "addiction," and "alcoholism" are all used to describe conditions that are included in this category. AUD is regarded as a neurological condition and can range in severity from mild to severe. Alcohol abuse causes long-lasting alterations in the brain that keep AUD alive and leave sufferers susceptible to relapse.
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a nurse is assessing the medical record of a client with arthritis who is to receive celecoxib. the nurse would question this order based on which finding in the client's history?
A nurse is assessing the medical record of a client with arthritis to receive celecoxib. the nurse would this order based on finding in the client's history Hypotension.
Arthritis is as a result of inflammation of the joints. Osteoarthritis normally comes with age and most customarily impacts the arms, knees, and hips. occasionally osteoarthritis follows a joint injury. for example, you would possibly have badly injured your knee while young and increase arthritis to your knee joint years later.
It maximum normally starts offevolved amongst human beings among the a long time of 40 and 60. it is greater common in women than guys. There are drugs which could gradual down an over-active immune device and consequently lessen the pain and swelling in joints. those are referred to as disorder-modifying anti-rheumatic tablets (DMARDs) and consist of organic cures.
Blood tests aren't needed to diagnose all styles of arthritis, but they assist to confirm or exclude a few styles of inflammatory arthritis. Your health practitioner may draw joint fluid or do a skin or muscle biopsy to assist diagnose sure varieties of arthritis.
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which anatomical site would the nurse expect to monitor when caring for an adult client who has just had a bone marrow aspiration performed?
Posterior iliac crest anatomical site would the nurse expect to monitor when caring for an adult client who has just had a bone marrow aspiration performed
Although they are rare, complications can include: excessive bleeding, especially in those with low levels of a specific type of blood cell (platelets); infection, typically of the skin on the inspection site; and, especially in people with compromised immune systems. persistent discomfort at the online bone marrow test page.
Determining the medical needs and desires of patients and meeting those needs. creating a supportive environment by offering psychological guidance. addressing or reporting on the needs or issues of patients.
Observing the circumstances of the impacted characters and determining what they need to provide exceptional, practical care and guidance. observing, interpreting, and communicating to medical professionals the patient's signs and symptoms. planning patient-specific care strategies in collaboration with doctors
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a 3-year-old girl with a past medical history of constipation is brought to the ed for evaluation of a limp and left knee pain. her physical exam is unremarkable. you obtain the knee radiograph seen above. what do you expect to see on her peripheral blood smear?
You expect to see on her peripheral blood smear Basophilic stippling and lead poisoning.
A peripheral blood smear shows what blood cells and platelets look like under a microscope. Healthcare providers may notice changes in the size and shape of blood cells and platelets under a microscope that may be signs of a blood disorder or blood cancer.
A procedure in which a blood sample is viewed under a microscope to count the various circulating blood cells to see if the cells appear normal. Examination of red blood cells shows microcytic and hypochromic red blood cells in chronic iron deficiency anemia. Microcytosis is seen in smears well before the MCV falls after an iron deficiency event. Platelets are usually elevated in this condition.
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the nurse is discussing risk factors for developing cad with a patient in the clinic. which results would indicate that the patient is not at significant risk for the development of cad?
The nurse is discussing risk factors for developing CAD with a patient in the clinic and the results which would indicate that the patient is not at significant risk for the development of CAD is high-density lipoprotein (HDL), 80 mg/dL.
HDL (high-density lipoprotein) steroid alcohol, typically referred to as “good” steroid alcohol, absorbs steroid alcohol within the blood and carries it back to the liver. The liver then flushes it from the body. High levels of cholesterol will lower your risk for cardiovascular disease and stroke.
CAD happens once coronary arteries struggle to provide the guts with enough blood, oxygen and nutrients. steroid alcohol deposits, or plaques, area unit nearly always guilty. These buildups slim your arteries, decreasing blood flow to your heart. this will cause hurting, shortness of breath or perhaps a heart failure.
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a nurse is teaching a health class about the roles played by minerals in the body. which mineral would the nurse identify as the most abundant in the body?
The human body contains more calcium than any other mineral, accounting for 1.5 to 2% of the total weight. An adult human's body contains about 1,200 g of calcium, and bones account for more than 99% of that total.
Which four minerals are found in the body the most frequently?Calcium, chloride, magnesium, phosphorus, potassium, sodium, and sulfur are the major minerals that the body uses and stores in large amounts. Although we don't require large quantities, trace minerals are just as important to our health as major minerals.
The mineral calcium is the most prevalent in the human body. Calcium is most abundant in the bones and teeth. The remaining calcium is found in body tissues, blood, and other bodily fluids.
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a nurse tells the child and caregiver that the nurse will interview each of them separately. the caregiver questions why this needs to occur. what is the nurse's best response?
The nurse should speak with the child and parent separately in order to gain a complete picture of the child because both can contribute valuable information that is particular to them.
What do you mean by communication in nursing practise?The success of each patient's tailored nursing care depends on effective communication between nurses and patients. However, nurses must comprehend and assist their patients while exhibiting politeness, kindness, and honesty in order to succeed. Additionally, they should set aside time for confidential contact with the patient. It's important to remember that this discussion will also involve people who are close to the patient, so everyone involved should be able to understand the language used. In addition to a nurse's physical capabilities, effective communication also depends on their education and experience.
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which of the following is true? group of answer choices the medical system is called upon to deal with the consequences of failures in public health. the vast majority of poor americans are served by community health centers. hospitals are no longer required by law to provide care for life-threatening conditions. the health status of the american population is evidence that high spending on medical care can compensate for failures in the public health system. there is well-documented evidence that patients were harmed by the overall cost control measures associated with managed care.
Life-threatening conditions are no longer obliged to be treated in hospitals by law.
Is this a crisis that could endanger life?Life-Threatening Emergency refers to a disorder that develops suddenly and unexpectedly, poses a threat to life, limb, or an organ system, and necessitates prompt medical or surgical attention, but in no instance more than hundred (24) hours after commencement.
Is it a condition that could be fatal?Any chronic disease, medical condition, or allergy that, under certain circumstances, if neglected or treated incorrectly, could result in death is referred to as a potentially life-threatening condition. Examples include diabetes, seasonal allergies, epilepsy, and asthma.
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a nurse is caring for clients with posttraumatic stress disorder (ptsd). negative alterations in cognition and mood associated with the traumatic event are important features of ptsd. knowing this, which symptoms is the nurse likely to find in such clients? select all that apply.
A nurse is caring for clients with post traumatic stress disorder (ptsd). negative alterations in cognition and mood associated with the traumatic event are important features of ptsd. People with PTSD have intense disturbances in the emotions and the problematic behavior is noticed.
What is the reason of PTSD ?Some of the familial issues, certain relationship problems and some of the personal behavior is responsible for such errors.
Changes in the physical and emotional reactions where the patient is suffering from certain issues are as following :
1. Being easily startled or frightened.
2. Always being on guard for danger.
3. Self-destructive behavior, such as drinking too much or driving too fast.
4. Trouble sleeping.
5. Trouble concentrating.
6. Irritability, angry outbursts or aggressive behavior.
7. Overwhelming guilt or shame.
The regions that are impacted the most are amygdala, hippocampus and prefrontal cortex.
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a nurse is caring for a 5-year-old child with end-stage acquired immunodeficiency syndrome (aids). the child confides that the child is ready to go to heaven and see grandpa. the nurse knows that the child's parents aren't comfortable with the idea of discontinuing treatment. what should the nurse do?
Have a conversation with the parents about death and make sure they are aware of what their child has shared with them in confidence.
What is AIDS?The acronym AIDS, which stands for "acquired immune deficiency syndrome," is the name given to a group of infections and illnesses that can be fatal if a person's immune system has been severely compromised by the HIV virus.
The last stage of untreated HIV is called acquired immunodeficiency syndrome (AIDS), which occurs when the white cell count in the body drops to a dangerously low level. Because of this, the patient is unable to defend themselves against opportunistic infections, which are infections that are less likely to arise in people who have healthy immune systems.
Therefore, nurse should have have a conversation with the parents about death and make sure they are aware of what their child has shared with them in confidence.
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the friend of a long-term care client comes to visit despite having an upper respiratory infection. what health teaching will the nurse share with the visitor?
If you have an infection of any type, you should not visit your buddy since your friend may become ill as well and hygiene is essential.
You may avoid illness and infection by washing your hands before touching your friend. You won't infect your companion if you cough and sneeze into the crook of your elbow.
Please obtain a mask from the staff upon arrival and use it along with hand hygiene when visiting to avoid the transmission of infection to your buddy and others.
Please obtain a mask from the staff upon arrival and use it along with hand hygiene when visiting to avoid the transmission of infection to your buddy and others.
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