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CAUSES UnknownNURSING DIAGNOSESImpaired physical mobilityChronic painImpaired skin integrityActivity intoleranceFatigueFibrotic changesto the skin areusually the firstclue to diagnosis ofscleroderma.

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Because the nurse is in no way harming theclient, the nurse-manager can wait until thenurse finishes and then speak to her in aprivate location; the nurse-manager shouldntcorrect the nurse in front of the client.

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Analgesics to treat the pain of meningealirritation Corticosteroid: dexamethasone (Decadron) Antibiotics (based on results ofCSF culture and sensitivity): ceftazidime(Fortaz), ceftriaxone (Rocephin)CAUSESAll typesINTERVENTIONS AND RATIONALES Monitor vital signs and intake and outputto assess for excess fluid volume.

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RESPIRATORY SYNCYTIAL VIRUSKey signs and symptoms Sternal retractions, nasal flaring Tachypnea Increased mucus productionKey test results Bronchial mucus culture shows respiratory syncytial virus (RSV).

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Talking with theclient about following unit rules, encouraginghim to change thinking patterns, and tellinghim that his negative feelings are causingpersonality changes dont address how hisspying behavior influences other clients andisolates him from effectively interacting withpeers.

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Antisocial personality disorder canbegin in early childhood and continue intoadulthood, but the actual diagnosis requiresthat the client be at least 18 years old and that313419NCLEX-RN_Chap16.

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When the nurseimplements care that addresses the clientshygiene needs, which action should be taken?

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PMPolish up on client care Carrying injectable dexamethasone Avoiding over-the-counter drugs unlessapproved by the physician Avoiding strenuous exercise, particularlyin hot weatherCushings syndromeCushings syndrome, also known as hypercortisolism, is characterized by hyperactivityof the adrenal cortex.

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Teach the patient about the disease, the treatment, and how to control the symptoms.

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EMERGENCY ACTIONSIf you suspect fulminant hepatitis, you should: notify the physician immediately provide supportive care, such as maintaining fluid volume, supporting ventilation throughmechanical means, controlling bleeding, andcorrecting hypoglycemia restrict protein intake expect to administer oral lactulose or neomycin and, possibly, massive doses of glucocorticoids prepare the client for a liver transplant ifnecessary and if he meets the criteria.

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Key treatments Bed rest (in severe cases) Surgery: corrective valvular surgery (in cases of persistentheart failure)313419NCLEX-RN_Chap03.

Mixed Connective Tissue Disease and also MGUS.

It is not known at which level of pain-signal transmission (starting at the receptor in the gut wall, through the spinal cord to the brain) this increased sensitivity is expressed, but it is selective to visceral stimuli, because patients with IBS have normal or even decreased sensitivity to somatic stimuli.

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