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konstantin123 [22]
3 years ago
10

Eight months ago, a client was in a hotel fire and was the last person to be rescued from the roof. The client watched the clien

t's spouse burn to death from the helicopter. The client continues to have nightmares and is fearful that the client will die in a fire. An appropriate nursing diagnosis for the client is what?
Health
1 answer:
Ratling [72]3 years ago
3 0

Answer:

Sleep pattern disturbances related to recurrent nightmares

Explanation:

After having to deal with such situation it is a completely normal reaction the one the client is going through. Post-Traumatic Stress Disorder (PTSD) can be experienced after an event as the one discribed in this task, and the symptoms are generally anxiety, avoidance of places or  insomnia. These kind of symptoms are triggered due to the fact that the brain is overflowed with neurochemicals such as epinephrine and adrenaline.

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A 5 year old is seen in the urgent care clinic with the following history and symptoms: sudden onset of severe sore throat after
Lapatulllka [165]

Answer:

C. Acute Epiglottitis

Explanation:

Before explaining why C is the correct answer, let's look at why the others are <u>not</u> correct:

  • A. GABHS is a bacterial infection that is a type of streptococcus (aka Strep). It is also the most common cause of Tonsillitis! Symptoms of GABHS typically include: Sore Throat, fever, swollen lymph nodes, and  tonsillar exudates. It sounds very like what we're looking for, but notice drooling isn't a symptom found with this one!
  • B. Acute Tracheitis is inflammation of the trachea often resulting from a bacterial infection. Symptoms of this condition are more breathing-related such as severe dry cough, wheezing, and even shortness of breath and cyanosis. Not what we're looking at.
  • D. Acute Laryngotracheobronchitis is a common disease found in young children that is more commonly known as Croup. This disease is most often characterized by a "barking cough." Other symptoms include fever, stridor and hoarseness.

Now, WHY is C the correct answer?:

Acute Epiglottitis is, like croup, commonly found in younger children and is defined as inflammation of the epiglottis (the flap that covers the trachea when swallowing). It is often characterized by fever, sore throat, difficulty swallowing, and (more specifically) drooling! The drooling coupled with the clear bilateral breath sounds and absence of a cough help to diagnose this illness.

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Explanation:

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