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Ward, knowing that was operating overseas, asked if he could meet Bakshi's superior, but he was told that Whitehall was too busy for a meet-and-greet.
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Hormonal therapy: tamoxifen, toremifene(Fareston), diethylstilbestrol, megestrol(Megace)INTERVENTIONS AND RATIONALES Assess the clients feelings about her illness, and determine what she knows aboutbreast cancer and what her expectations areto help identify her needs and aid in developinga care plan.
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NCLEX keysClient needs category: Physiological integrityClient needs subcategory: Reduction of riskpotentialCognitive level: Application NCLEX keysClient needs category: Physiological integrityClient needs subcategory: PhysiologicaladaptationCognitive level: Analysis3.
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Topical medications: benzoyl peroxide(Benzac), clindamycin (Cleocin), or erythromycin (Benzamycin) antibacterial agents; aloneor in combination with external retinoids suchas tretinoin (, Retin-A), or a keratolytic Antiandrogenic agents: estrogens orspironolactone (Aldactazide)INTERVENTIONS AND RATIONALES Review the adolescents drug historybecause some medications, such as hormonalcontraceptives, may cause acne flare-ups.
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If one parent has sickle cell disease (two sickle cell genes) and the other parent has sickle cell trait (one normal gene, one sickle cell gene), the child has a 50% chance of inheriting sickle cell trait and a 50% chance of inheriting sickle cell disease.
Provide treatments: range-of-motion(ROM) exercises, Hubbard tank (forimmersing the client), bed cradle, splints, andJobst clothing to maintain ROM and preventcomplications.
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Hydrea (hydroxyurea) for Anemia, Sickle Cell: "Hydroxyurea significantly improves the frequency of sickle cell crisis, but it has a long list of adverse effects.
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Key treatments Aneurysm clipping Endovascular embolization(continued)313419NCLEX-RN_Chap06.
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Administer blood components (packedRBCs) as ordered for aplastic crisis caused bybone marrow suppression.
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Activity changes: avoidance of cold Smoking cessation (if appropriate) Surgery (used in fewer than one-quarter ofclients): sympathectomyDrug therapy Calcium channel blockers: diltiazem (Cardizem), nifedipine (Procardia) Vasodilator: phenoxybenzamine (Dibenzyline)INTERVENTIONS AND RATIONALES Warn against exposure to the cold.
Abduction andflattened shoulders arent appropriate positions for preterm neonates because they dontallow neonates to assume a natural position.
In a study comparing patients with different kinds of long-term illnesses, those with sickle cell disease gave the lowest scores to their doctors and other professional caregivers for compassion, and were least satisfied with their medical care.
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Teaching topics Explanation of the disorder and treatmentplan Medication use and possible adverseeffects Safer sex practices How disease is transmitted Importance of continuing antibiotictherapy for the duration prescribedNURSING DIAGNOSES Impaired urinary elimination Acute or chronic pain Impaired oral mucous membraneTREATMENTSymptomatic and supportive treatmentDrug therapyHerpes simplexA recurrent viral infection, herpes simplex iscaused by two types of Herpesvirus hominis(HVH), a widespread infectious agent: Herpes virus Type 1, which is transmittedby oral and respiratory secretions, affects theskin and mucous membranes and commonlyproduces cold sores and fever blisters.
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