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PM236Musculoskeletal systemTeaching topicsNURSING DIAGNOSES Explanation of the disorder and treatmentplan Medication use and possible adversereactions Physical therapy and rehabilitation options Avoiding putting weight on the affectedlimb Performing skin and foot care daily Activity intolerance Impaired physical mobility Chronic painOsteoarthritisDont get softon me.
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NURSING DIAGNOSES Disturbed body image Impaired skin integrity Social isolationTREATMENT Treatment for all members of the family(as well as close contacts of the child)Drug therapy Topical application of permethrin (Elimite)8% creamINTERVENTIONS AND RATIONALES Apply medication as prescribed to promotehealing.
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Keep abreast ofdiagnostic testsHere are the most important tests used todiagnose musculoskeletal disorders, alongwith common nursing interventions associated with each test.
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Counseling the client to help her decidewhether to terminate the pregnancy505Infants born to teenagers are at risk forsuch complications as prematurity and lowbirth weight.
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NCLEX keysClient needs category: Physiological integrityClient needs subcategory: PhysiologicaladaptationCognitive level: Application5.
Nursing actionsBefore the procedure Determine the clients ability to lie stillduring the test.
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After undergoing anextensive cardiac, pulmonary, GI, and neurologic work-up, shes told that all test resultsare completely negative.
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PM476Eating disorders Treatment options Support services and community resourcesTell the clientthat she has a rightto think of herself asbeautiful regardlessof how she compareswith others.
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PMBrush up on key concepts27Cardiovascular refresher (continued)ENDOCARDITIS (CONTINUED)Key treatments Maintaining sufficient fluid intake Antibiotics: based on infecting organism AspirinKey interventions Watch for signs of embolization (hematuria, pleuritic chestpain, left upper quadrant pain, and paresis), a common occurrence during the first 3 months of treatment.
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