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Listening carefully to their perception of what their needs are is acting in behalf of the patient and looking on the interest of the patient.

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Women who are pregnant should be treated at a high-risk clinic.

Myelosuppressive drugs to lower platelet count include anagrelide, interferon alfa-2b, and hydroxyurea (sometimes with low-dose aspirin).

These drugs will either stop the attack within an hour or 2 or will not work at all, and therefore should not be dosed repeatedly.

Which action should the nurseavoid when conducting the health historyinterview?

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Pravachol) to decrease LDLlevels and triglycerides and to increaseHDL levels Insulin or antidiabetic agents (if the clienthas hyperglycemia) Medications for weight loss: orlistat(Xenical), sibutramine (Meridia)313419NCLEX-RN_Chap09.

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NURSING DIAGNOSES Impaired gas exchange Impaired spontaneous ventilationTREATMENT None If the child can be resuscitated, its calledan acute life-threatening event (near-SIDS) andmonitoring of the child is initiated.

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PMPolish up on client care Teach the client how to use an incentivespirometer and encourage him to use it every1 to 2 hours to encourage deep inspirationthrough positive reinforcement.

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Both acquired and congenital disorders of platelet function can be acutely reversed in order to control severe clinical bleeding.

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You can find support groups through local cancer centers, The Cancer Support Community, and the American Cancer Society.

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Always report actual orsuspected abuse according to your facilityspolicies and procedures.

Other therapies used to treat latestage, refractory breast cancer include Xeloda capecitabine, for patients with breast cancer resistant to paclitaxel and anthracyclinecontaining chemotherapy; Ixempra ixabepilone, for patients with latestage disease after failure of an anthracycline, taxane, and Xeloda; and Ixempra plus Xeloda, for patients with latestage disease after failure of anthracyclinebased and taxanebased chemotherapy.

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AMBrush up on key concepts177Neurosensory refresher (continued)BELLS PALSY (CONTINUED) Provide privacy during mealtimes.

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Key treatments Oxygen therapy: endotracheal intubation and mechanicalventilation Nasogastric tube feedings or total parenteral nutrition Anticonvulsants: phenytoin (Dilantin), phenobarbital Analgesics and antipyretics: aspirin or acetaminophen(Tylenol) to relieve headache and reduce fever Diuretic: furosemide (Lasix) or mannitol to reduce cerebralswelling Corticosteroid: dexamethasone to reduce cerebral inflammation and edemaCORNEAL ABRASIONKey signs and symptoms Burning Increased tearing Redness Pain in affected eye disproportionate to the size of the injuryKey interventionsDuring acute phase Monitor neurologic function often.

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DIAGNOSTIC TEST RESULTS Bronchoscopy reveals a positive biopsy.

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THORACIC AORTIC ANEURYSMKey signs and symptomsAscending aneurysm Pain (described as severe, boring, and ripping and extending tothe neck, shoulders, lower back, or abdomen) Unequal intensities of the right carotid and left radial pulsesDescending aneurysm Pain (described as sharp and tearing, usually starting suddenlybetween the shoulder blades and possibly radiating to the chest)Transverse aneurysm Dyspnea Pain (described as sharp and tearing and radiating to theshoulders)Key test results Aortography, the definitive test, shows the lumen of the aneurysm, its size and location, and the false lumen in a dissectinganeurysm.

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