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PMBrush up on key concepts495Antepartum care refresher (continued)HEART DISEASEKey signs and symptoms Tachycardia Dyspnea Fatigue Diastolic murmur at the hearts apex Crackles at the base of the lungsKey test results Echocardiography, electrocardiography, and chest X-ray mayreveal cardiac abnormalities, impaired cardiac function, andcardiovascular decompensation.

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The PVSG found a statistically significant increase in the number of thrombotic events within the first three years of initiating treatment, compared with the use of myelosuppressive agents.

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Patients should let their doctor or nurse know right away if they have a fever (temperature greater than 100.

The nurse determines that which laboratory result is a result of the side effects of this medication?

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This treatment is very intense and has risks.

It should not be given with phototherapy.

Gastrointestinal toxicity with mucositis, nausea, vomiting, and diarrhea has been observed when Myleran was used in association with bone marrow transplantation.

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Teaching topics Explanation of the disorder and treatmentplan Review of medications, dosages, andadverse reactions Providing adequate nutrition andhydration Importance of humidified environment Avoiding people with cold symptoms Preventing the spread of infectionSudden infant deathsyndromeSIDS is the sudden death of an infant in whicha postmortem examination fails to confirm thecause of death.

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The womanreports severe pain, has difficulty moving herleft leg, and is unable to bear weight on theaffected leg.

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Help for the abuserYou need to evaluate the abusers abilityto handle stress.

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SALICYLATE TOXICITYKey signs and symptoms High fever Petechiae and bleeding tendencyKey test results Serum salicylate levels are elevated beyond therapeutic range.

Drugs such as (Crixivan) and (Norvir, also as ), which cause general malaise, may contribute to a feeling of enervation (lack of energy).

Can I take over-the-counter medications?

Hyperkeratosis and papillomas may also be seen in someone with lymphedema.

NURSING DIAGNOSESFatigueRisk for injuryDisturbed body imageActivity intoleranceDrug therapy Alpha-adrenergic blocker: before surgery Phenoxybenzamine and propranolol if surgery isnt possibleINTERVENTIONS AND RATIONALES Carefully monitor the clients bloodpressure and vital signs because transienthypertensive attacks are possible.

Spirometry and lung volumes may be normal or detect mild restriction, and diffusing capacity for carbon monoxide (DL co) is usually reduced.

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Fluid overload, anorexia, and diarrhea arentproblems specifically related to Parkinsonsdisease.

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CAUSES Flexor tenosynovitis (commonly associated with rheumatic disease) Nerve compression Physical trauma Rheumatoid arthritisASSESSMENT FINDINGSPoorly designedkeyboards arecommonly theculprits in casesof carpal tunnelsyndrome.

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CONTRIBUTING FACTORS Chemotherapy Dehydration Diet high in calcium, vitamin D, milk, protein, oxalate, alkali Excessive vitamin C intake Genetics Gout Hypercalcemia Hyperparathyroidism Idiopathic origin Immobility313419NCLEX-RN_Chap10.

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Philadelphia chromosome-positive chronic myelogenous leukemia in patients resistant to prior treatment.

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The concomitant systemic administration of itraconazole to patients receiving high-dose Myleran may result in reduced busulfan clearance (see CLINICAL PHARMACOLOGY).

These drugs include Dasatinib (Sprycel), Imatinib (Gleevec), and Nilotinib (Tasigna).

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Of the four clients listed below, which responsibility should the nurse direct the technician to carry out first?

Dietary changes, including restricting fluidintake or, if intubated, nothing by mouth Extracorporeal membrane oxygenation, ifavailable O2 therapy: intubation and mechanical ventilation using positive end-expiratory pressure(PEEP) or pressure-controlled inverse ratioventilation Respiratory treatmentsAspirationDecreased surfactant productionFat emboliFluid overloadNeurologic injuriesO2 toxicityRespiratory infectionPulmonary embolismSepsisShockTraumaASSESSMENT FINDINGS Agitation, confusion Altered level of consciousness Use of accessory muscles Tachycardia Hypertension or hypotension Cool, clammy skin Fatigue Anxiety, restlessness Cough Crackles, rhonchi, decreased breathsounds Cyanosis Dyspnea, tachypneaDIAGNOSTIC TEST RESULTS ABG levels show respiratory acidosis, metabolic acidosis, and hypoxemia that doesntrespond to increased fraction of inspiredoxygen (FIO2).

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