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Teaching topics Explanation of the disorder and treatmentplan Medication use and possible adverseeffects Avoiding exposure to sunlight (to preventphotosensitive reactions to antipsychotics) Reporting adverse affects of antipsychoticmedications Visiting the hospital weekly to monitorblood chemistryDelusional disorderClients with delusional disorder hold firmly tofalse belief despite contradictory information.

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Long-term daily exercise program(essential to delay loss of function) Spinal wedge osteotomy to separate andreposition vertebrae in case of severe spinalinvolvement (performed only on selectedclients because of risk of spinal cord damageand long convalescence) Surgical hip replacement in case of severehip involvementAnkylosingspondylitis can bean extremely painfuland debilitatingdisease.

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Hypothermia Menstrual disorders Mental sluggishness Thick tongue and swollen lips Weight gain or anorexiaDIAGNOSTIC TEST RESULTS Blood chemistry analysis shows decreasedT3, T4, and sodium levels and increased TSHand cholesterol levels.

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CAUSES Possible genetic or viral cause Unknown stimulus begins inflammationImpaired gas exchangeIneffective breathing patternFatigueActivity intoleranceTREATMENT Lung transplant: in younger, otherwisehealthy clients O2 therapyDrug therapyASSESSMENT FINDINGSBronchial breath soundsClubbing of fingertipsDry, hacking, paroxysmal coughDyspneaRapid, shallow breathing Corticosteroids and cytotoxic drugs: tosuppress inflammation, but are usually unsuccessful Interferon-gamma-1B (has shown earlypromise in treating the disease)INTERVENTIONS AND RATIONALESIn late casesAugmented S3 and S4 gallopCyanosisProfound hypoxemiaPulmonary hypertensionDIAGNOSTIC TEST RESULTS ABG analysis and pulse oximetry showshypoxemia, which may be mild in the earlystages, and then becomes severe.

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