The nurse is planning education for a client who has exhibited aggression on techniques to manage anger. The situation which would be best for providing this education include the following:
<h3>What is Aggression?</h3>
This is referred to as a feeling of anger exhibited by an individual due to different types of conditions and is usually followed by a violent or hostile behavior.
Anger management is important as it helps to prevent fights which could lead to the destruction of lives and properties and are often caused by mental health conditions which can be treated in some cases.
For education on aggression, the nurse have to make observations such as impulsive actions and breaking of rules very often.
Another observation is anxiety thereby making the answers provided the most appropriate choices.
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The main<u> </u><u>difference</u><u> between a</u><u> TIA</u> (transient ischemic attack) <u>and </u><u>RIND</u> (Reversible ischemic neurologic deficit) is the time duration taken for reversal of symptoms.
Explanation:
The symptoms of TIA can last for about 24 hours and settle within a day. RIND lasts for more than 24 hours and clears within a week or few weeks. This means that RIND is actually a mini version of TIA.
<u>Perspective of the paramedic:</u>
Since both the conditions exhibits acute mini stroke-like conditions with reversal of symptoms, the perspective of the paramedic will be the same for both TIA and RIND.
The paramedics in the field should conduct GCS and FAST tests, detect stroke and its damage caused, should obtain other basic information at the field, and administer basic neuroprotective treatment modalities to save the patient from further damage.
<u>In the hospital,</u> for both TIA and RIND, the primary stroke management is to restore the blood supply to the brain through anticlotting agents like tPA injections or endovascular procedures
. The treatment can vary later according to the severity of the stroke.
Allergic responses associated with genetic predispositions are usually related to immunoglobulin E.
<h3>What is immunoglobulin E?</h3>
Immunoglobulin E is a scientific term for a type of antibody present only in mammals. This antibody is related to:
- Allergies
- Pathogens such as parasites
Generally, its levels are usually quite high in allergic patients and in people who suffer from some Parasitic disease. According to the above, the patient who has an allergic reaction associated with a genetic predisposition has high levels of immunoglobulin E.
Note: This question is incomplete because the options are missing. Here are the options:
A) Immunoglobulin A
B) Immunoglobulin M
C) Immunoglobulin G
D) Immunoglobulin E
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A manual resuscitation bag to give the client big breaths before beginning by the student nurse will require additional instruction by the nurse.
What is Tracheostomy?
- Tracheostomy may be a surgical procedure which consists of making an incision in the front(anterior aspect) of the neck and opening a direct airway through an incision in the trachea.
- This tube allows an individual to breathe without the use of the nose or mouth. As a result, stoma (hole) can serve independently as an airway or as a site for a tracheal tube or tracheostomy tube to be inserted.
- In the chronic (long-term) setting, indications for tracheotomy include the necessity for long-term mechanical ventilation and tracheal toilet (e.g., comatose patients, extensive surgery involving the top and neck).
- Tracheotomy may end in a significant reduction in the administration of sedatives and vasopressors, also as the duration of stay in the intensive care unit (ICU).
- In extreme cases, the procedure could also be indicated as a treatment for severe obstructive sleep apnea (OSA) seen in patients intolerant of continuous positive airway pressure (CPAP) therapy.
- The reason tracheostomy works well for OSA is because it is the only surgical procedure that completely bypasses the upper airway. This procedure was commonly performed for obstructive apnea until the 1980s, when other procedures like the uvulo palato pharyngoplasty, genioglossus advancement, and maxillomandibular advancement surgeries were described as alternative surgical modalities for OSA.
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