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If pulmonary embolism is causedby thrombophlebitis, temperature may beelevated.
Acute pain Activity intolerance Ineffective tissue perfusion: Peripheral Assess cardiovascular status.
Monitor blood pressure and CVP duringand after pericardiocentesis to monitor forcomplications such as hypotension, which mayindicate cardiac chamber puncture.
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Bring this information to your doctor.
PMPolish up on client care assist with turning, coughing, and deepbreathing encourage early ambulation provide pain medications as necessaryand evaluate their effect monitor postoperative dressings forsigns of bleeding provide wound care as directed.
Pressure exerted by thematernal pelvis and birth canal during laborand delivery causes the sutures of the skullto allow the cranial bones to shift, resulting inmolding of the fetal head.
Suction as needed to stimulate cough andclear airways.
Dicyclomine (dye sye' kloe meen) is synthetic tertiary amine, antispasmotic and anticholinergic agent which inhibits the muscarinic actions of acetylcholine on autonomic nerve endings, decreasing gastrointestinal secretions and intestinal motility.
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ALZHEIMERS-TYPE DEMENTIAKey signs and symptomsStage 1 (mild symptoms) Confusion and memory loss Disorientation to time and place Difficulty performing routine tasks Changes in personality and judgment Sleep disturbancesStage 2 (moderate symptoms) Difficulty performing activities of daily living Anxiety Suspiciousness Agitation Wandering Pacing Repetitive behaviors Sleep disturbances Difficulty recognizing family membersStage 3 (severe symptoms) Loss of speech Loss of appetite Weight loss Loss of bowel and bladder control Total dependence on caregiverKey test results Cognitive assessment scale demonstratescognitive impairment.
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NCLEX keysClient needs category: Physiological integrityClient needs subcategory: PhysiologicaladaptationCognitive level: ApplicationI sense thatyouve completedanother chapter.
AMBrush up on key concepts249Gastrointestinal refresher (continued)GASTRITIS (CONTINUED) Offer small, frequent meals.
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Assess pain level and medicate for pain as necessaryor guide the client in use of PCA).
CHOLECYSTITISKey signs and symptoms Episodic colicky pain in epigastric area thatradiates to the back and shoulder Indigestion or chest pain after eating fatty orfried foods Nausea, vomiting, and flatulenceKey test results Blood chemistry reveals increased alkalinephosphatase, bilirubin, direct bilirubin transaminase, amylase, lipase, aspartate aminotransferase (AST), and lactate dehydrogenase (LD)levels.
Respirations are irregular and use thediaphragm and abdominal muscles.
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ECT is never givento prevent depression in clients with bipolardisorder, to clients with bipolar disorder andchronic undifferentiated schizophrenia disorders, or to clients with eating disorders.
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Observe for signs of increasing ICP(including ICP measurements greater than20 mm Hg for more than 10 minutes) toavoid treatment delay and prevent neurologiccompromise.
Requirements vary from state to state, so its important that you first contact theBoard of Nursing in the state where you want to practice nursing.
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Suppression of preterm labor (if the fetalmembranes are intact, theres no evidenceof bleeding, the well-being of the fetus andmother isnt in jeopardy, cervical effacementis no more than 50%, and cervical dilation isless than 4 cm) Bed restCAUSES AND CONTRIBUTING FACTORSDrug therapyCauses of and contributing risk factors to preterm labor can be maternal or fetal.
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