Noisy breathing is produced by enlarged adenoids.
The lymphoid adenoids are located in the upper airway between the back of the throat and the nose. They resemble tonsils in appearance. Adenoids that are enlarged indicate swelling tissue. The tonsils, esophagus, trachea, and epiglottis are among the components of the throat.
Snoring, mouth breathing, chronic congestion, nasal discharge, ear issues, sinusitis, and "nasal" voice quality can all be signs of an enlarged adenoid.
The rear of the mouth and on either side of the throat are home to the tiny, rounded tonsils. The adenoid is a mass of tissue that is situated above the roof of the mouth, behind the nasal cavity. Adenoids and tonsils combat infections and can expand if they do so.
A bacterial infection, such as one with the bacteria Streptococcus, may be the cause of adenoiditis. Adenovirus, rhinovirus, and Epstein-Barr virus are just a few of the viruses that might cause it.
Enlarged adenoid symptoms are:
- breathing through the nose is challenging.
- Poor breath and chapped lips as a result of mouth breathing.
- having a compressed or stuffed-nose sound.
- recurring nasal issues.
- Snoring.
- Obstructive sleep apnea or restless sleep.
- middle ear infections that recur or fluid buildup in children at school
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Micheal might be suffering from diabetes insipidus.
Diabetes insipidus
Diabetes insipidus is a condition in which the affected person has the urge to pee a lot and feels thirsty all the time. Even though it is not directly related to diabetes, it is named as such because the affected person has symptoms similar to diabetes. The two main symptoms are polydipsia and polyuria.
Cause of Diabetes insipidus
Diabetes insipidus is caused by the lack of production of antidiuretic hormone (ADH). ADH is produced by the hypothalamus which then gets stored in the pituitary gland. When the person was subjected to surgery to remove the entire mass of cancer cells in the pituitary gland, the ability of the gland to store ADH could have been lost.
The ADH allows the retention of water by concentrating the urine. In a person with diabetes insipidus, the production of AHD is affected, and in very rare cases the response by the kidneys to ADH is reduced which also reduces the water reabsorption and increases urine volume.
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Options for the question have not been given. They are as follows:
a) "Would you like me to call your parents?"
b) "I am sorry this is happening to you."
c) "You have a lot to live for."
d) "The voices are not real."
Answer:
b) "I am sorry this is happening to you."
Explanation:
The client is having hallucinations of voices telling him that he is worthless. He is suffering from low confidence and does not feel good enough even though he has achieved significantly in life. He also has history of self harm. So, the client has started to shut out the world and be in his own thoughts.
In this case, before approaching any treatment, it is necessary for the nurse to make the client comfortable. She should be empathetic and show genuine concern which will make the client trust her more. If the nurse just abruptly tells the client that his hallucination is not real or that she wants to inform his parents, he might become even more reclusive. He might even refuse to participate in the future treatment.
So instead of forcing him to understand his condition or telling him to be positive, it is first important for the nurse to build a healthy connection with him. Thus, option b) is correct.
