When the nurse observes the client has extension and external rotation of the arms and wrists and plantar flexion of the feet, the nurse records the client's posture as decerebrate posturing.
Decerebrate posture is an extraordinary body posture that involves the arms and legs being held straight out, the feet being pointed downward, and the head and neck being arched backward. The muscle mass is tightened and held rigidly. This form of posturing usually means there was severe harm to the brain.
even as decorticate posturing remains an ominous signal of intense brain harm, decerebrate posturing is typically indicative of greater extreme damage to the rubrospinal tract, and as a result, the crimson nucleus is likewise involved, indicating a lesion lower inside the brainstem.
The character will receive emergency treatment. This consists of getting a respiration tube and respiration help. The character will possibly be admitted to the health facility and positioned in the intensive care unit.
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Answer: The intervention that the nurse should implement first is Place a mask on the client’s face. Option B
Explanation:
Flu- like cough symptoms should be handled first by the nurse by placing a mask on the client' s face. This will help minimise the spread of causative agent to other patients, health staff and family members around the affected patient. The combination of cough and flu-like fever may be an indication of influenza infection and as such, be treated until proven otherwise.
Body substance isolation is a system of infection precautions intended to reduce nosocomial transmission of infectious agents and also tries to reduce the risk of transmission of hepatitis B virus, human immunodeficiency virus, and other infectious agents to health care personnel.
In emergency situations, the Assess, Recognize, and Care idea is a systematic and continuous technique for quick assessment, precise recognition, and prompt care. Because the health of an acutely ill patient can quickly deteriorate, frequent assessment, recognition, and care are essential.
<h3>What are the steps of which includes assess, recognize and care?</h3>
- Use a visual assessment to determine the need for further resources, evaluate safety, and form an initial impression of the patient
- A responsiveness check
- If the patient is not responding, open the airway while simultaneously testing for breathing and a pulse.
- After you've finished your quick assessment, give care in accordance with the circumstances discovered.
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