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NCLEX keysClient needs category: Physiological integrityClient needs subcategory: PhysiologicaladaptationCognitive level: ApplicationBeautiful.

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AMPolish up on client careTREATMENT Flat position, with neck immobilized in acervical collar Maintenance of vertebral alignmentthrough skull tongs, Halo vest Specialized rotation bed Surgery for stabilization of the upper spinesuch as insertion of Harrington rodsDrug therapy Antianxiety agent: lorazepam (Ativan) Glucocorticoid: methylprednisoloneinfusion immediately following injury H2-receptor antagonists: cimetidine(Tagamet), ranitidine (Zantac), famotidine(Pepcid) Laxative: bisacodyl (Dulcolax) Mucosal barrier fortifier: sucralfate(Carafate) Muscle relaxant: dantrolene (Dantrium)INTERVENTIONS AND RATIONALES Monitor neurologic and respiratory statusto determine baseline and detect early complications.

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Evaluating the mother duringtrue labor Surgery to remove the fetus and repair the tear, or hysterectomy, if necessary Oxytocic agent: oxytocin (Pitocin) to help contract the uterusKey interventions Monitor vital signs frequently.

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Feinberg says. It may be that some people have a stronger way of preserving epigenetic markers than other people do.

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The manual includesa complete description of psychiatric disorders313419NCLEX-RN_Chap12.

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PMPolish up on client care609Management momentsRespiratory assistance for childrenThe oxygen tent, the cool mist tent, the nasal cannula, andchest physiotherapy are specialized treatments for pediatricrespiratory disorders.

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Teaching topics Explanation of the disorder and treatmentplan Medication use and possible adverseeffects End-of-life care and organ donation issues Recognizing decreasing LOC Minimizing environmental stress Altering ADLs to compensate for neurologic deficits Preventing constipation313419NCLEX-RN_Chap06.

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CONTRIBUTING FACTORS Childhood traumas Closed family system that discouragesrelationships with others Genetic predisposition Physical abuse Sexual abuse Social isolationASSESSMENT FINDINGS Clinging, demanding behavior Exaggerated fear of losing support andapproval Fear and anxiety about losing the peopletheyre dependent upon Hypersensitivity to potential rejection anddecision making Indirect resistance to occupational andsocial performance Low self-esteem Over-reliance on family members Tendency to be passiveINTERVENTIONS AND RATIONALES Encourage activities that require decisionmaking (balancing a checkbook, planningmeals, paying bills) to promote independence.

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