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NURSING DIAGNOSES Imbalanced nutrition: Less than bodyrequirements Impaired gas exchange Ineffective airway clearance Activity intolerance Ineffective breathing pattern AnxietyTREATMENT Bronchoscopy (to mobilize secretions) Chest physiotherapy and incentivespirometry O2 therapyDrug therapy Antibiotics: according to sensitivity of causative organism Bronchodilator: albuterol (Proventil-HFA) Mucolytic: acetylcysteineINTERVENTIONS AND RATIONALESYouve readabout your clientsbreathingnowits time to dosome breathing ofyour own.

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CAUSES Possibly poor maternal nutrition or adefective ovum Methotrexate (Trexall) prophylactically(the drug of choice for choriocarcinoma)INTERVENTIONS AND RATIONALES Monitor and record vital signs and intakeand output to assess for changes that may indicate complications.

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TREATMENT Bed rest during fever and until sedimentation rate returns to normalDrug therapy Analgesic: aspirin for arthritis pain Antibiotic: penicillin to prevent additionaldamage from future attacks (taken until age20 or for 5 years after the attack, whichever islonger)313419NCLEX-RN_Chap27.

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Teaching topics Explanation of the disorder and treatmentplan Recognizing the signs and symptoms ofrespiratory distress Performing coughing and deep-breathingexercises and incentive spirometry Drug therapy Nutritional therapy and fluid restrictions ifappropriate Importance of adequate rest Avoiding exposure to chemical irritantsand pollutants313419NCLEX-RN_Chap04.

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AM466Sexual disordersheettsCheaSexual disorders refresherGENDER IDENTITY DISORDERKey signs and symptoms Dreams of cross-gender identification Finding ones own genitals disgusting Persistent distress about sexual orientation Preoccupation with appearance Self-hatredKey test results Psychological testing may reveal cross-genderidentification or behavior patterns.

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