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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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Whenever acompetent clientexpresses hiswishes concerningextraordinarytreatment, healthcare providers shouldattempt to followthem.
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Evidence of the disease has varied impact to the patient.
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These strategies includesuch safeguards as not posting lists of clientsnames where the public can see them, notallowing staff to discuss client information inpublic areas where others can overhear, anddisposing of PHI in a proper and confidentialmanner, usually by shredding it.
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Here are some typical nursing actions regarding chesttubes, beginning when the chest tube is in place: First, have the client take several deep breaths to fully inflatehis lungs and help push pleural air out through the tube.
Treatment of polycythemia vera with hydroxyurea.
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Despite the rocky path to recovery, he continues to put others above him, and wants nothing more but to spread his message and continue to help others in his situation.
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ABG analysis reveals metabolic acidosiscaused by slower dehydration and loss ofintestinal alkaline fluids, characteristic oflower-bowel obstruction.
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Advise the client to use soft toothbrushesto avoid injuring mucous membranes.
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It's important to give yourself (and your family) permission to feel and experience these emotions, to talk about them, to work through them and to get help if and when you need it.
Leaving the infant aloneuntil he stops crying causes an increase incyanosis.
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This client is most likelyexperiencing which sleep disorder?
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During the admission assessment of a 35 year old client with advanced ovarian cancer, the nurse recognizes which symptom as typical of the disease?
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Hyperpigmentation is the most common adverse skin reaction and occurs in 5% to 10% of patients, particularly those with a dark complexion.
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Severe hemophiliaA hereditary bleeding disorder, hemophiliaproduces mild to severe abnormal bleeding.
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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NURSING DIAGNOSESAnxietyRisk for injuryDisturbed sensory perception (visual)Acute painFearTREATMENTAcute angle-closure glaucomaTime is on myside.
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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.
Practice makes perfectAs you near the examination date, you shouldincrease the number of NCLEX practicequestions you answer at one sitting.
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Induced with 5 cycles of CHOP or R-CHOP followed by autotransplantation at the first response to induction therapy with CHOP with or without rituximab for 3 cycles.
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Symptoms such as transient neurologic disturbances may respond to low-dose aspirin therapy.
The Body and its logos are trademarks of Remedy Health Media, LLC, and its subsidiaries, which owns the copyright of The Body's homepage, topic pages, page designs and HTML code.
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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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The patients were seen every two weeks, and blood samples were shipped to Baltimore and analyzed at Johns Hopkins Hospital.
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Before age 4 months, symptomsare rare (because fetal hemoglobin preventsexcessive sickling).
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Advances in MRI allowvisualization of cerebral arteries and venoussinuses without administration of a contrastmedium.
The incidence of veno-occlusive disease was higher (33.
Help the client to identify manipulative behaviors, focusing on specific examples.
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Presence of two or more distinct identitiesor personality states Recurrent depression Sexual dysfunction and difficulty formingintimate relationships Sleep disorders Somatic pain syndromes Substance abuse Suicidal tendencies Disturbances not due to directphysiological effects of a substanceTeaching topicsDIAGNOSTIC TEST RESULTS Explanation of the disorder and treatmentplan Medication use and possible adverseeffects Promoting positive coping skills Utilizing relaxation techniques Standard dissociative disorder tests demonstrate a degree of dissociation.
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For example, skin changes are more obvious in a 95-year-old client than in a70-year-old client.