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Grounds for challenging a clients right torefuse treatment The client is incompetent.
CONTRIBUTING FACTORS Traumatic, stressful, or humiliating experienceASSESSMENT FINDINGSNursing carein pain disordermay focus onpain managementtechniques, suchas relaxation andmeditation.
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Anticipatory grieving is an appropriate nursing diagnosis for this client because few clients with gallbladder cancer live more than 1 year after diagnosis.
No RCTs on the use of hydroxyurea during pregnancy were available.
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PMIndexThyroidectomy, care for client with, 307Thyroiditis, 288, 308309Thyroid-stimulating hormone, 283Tic douloureux, 215Tocolytic agents, for preterm labor, 539Tocotransducer, 525Toddlergrowth and development in, 586, 587sickle cell anemia in, 633Tolerance, 449, 455Tonic neck reflex, 561Tonometry test, 187Tonsils, 117Total client care nursing, 750Toxic nodular goiter, 300Toxicology screening, 379Trachea, 69Tracheoesophageal fistulain child, 680681, 688689, 697in neonate, 557, 568Traction, 670Transient ischemic attacks, 57Transposition of great vessels, 598Travelers diarrhea, 266Treatment, right to refuse, 758759, 761762Trendelenburgs test, 664, 668Tricuspid insufficiency, 64, 65Tricuspid valve, 23Trigeminal neuralgia, 182183, 218219Triple screen, 501Truncus arteriosis, 598Trunk incurvature reflex, 561Tuberculosis, 77, 110111, 115Tubes, insertion of, in child, 684Tubular necrosis, acute, 314315, 327Tubulointerstitial nephritis, 717UUlcerative colitis, 252, 278279Ulcerspeptic, 251, 275277pressure, 353, 358360Ultrasonography, 254, 290, 323in child, 645during pregnancy, 502Umbilical cord, 500, 564prolapsed, 522, 535Umbilical cord compression, 542iUpper gastrointestinal series, 252, 682Upper respiratory tract, 69, 605Ureter, 313Urethra, 319, 321Urethral meatus, 320Urinalysis, 321, 713Urinary frequency, during pregnancy, 499Urinary system, components of, 313, 319Urinary tract infection, in child, 713, 719721Urinein child, 711formation of, 313in toddler, 743Urine calcium test, 291Urine collection, 24-hour, 290, 321, 714Urine culture and sensitivity test, 321, 713714Urine test, 129in child, 713714in pregnancy, 501Urine vanillylmandelic acid test, 290Urolithiasis, 367Uterine atony, 544, 549Uterine rupture, 522523, 535536Uteroplacental insufficiency, 503, 582Uterus, 320inverted, 521, 532VVagina, 320Vaginal vestibule, 320Vaginismus, 468Valvular heart disease, 3132, 6365Vas deferens, 321Vascular dementia, 417, 420421, 423Vascular system, after delivery, 543Vasculitis, 127, 170171Vasopressin, 283Veins, 32Venereal Disease Research Laboratoryslide test, 345Venipuncture, in child, 626Venogram, 35Ventilation, mechanics of, 605Ventricles, 23Ventricular fibrillation, 24, 25, 38, 39Ventricular septal defect, 596597805Ventricular tachycardia, 24, 25, 38, 39Venules, 32Verbal orders, 769Vernix caseosa, 561Vertebral and basilar arteries, 57Vesicular rash, 731Vibroacoustic stimulation, 503Viral enteritis, 266Viral meningitis, 660Virchows triad, 63Visceral layer of heart sac, 23Vision, age-related changes and, 786t787tVisual acuity test, 186Visual field examination, 186Visual function, in neonate, 641Vitamin B12, in pernicious anemia, 174Vitreous humor, 184Voiding cystourethrogram, in child, 714715Voyeurism, 467, 470WWarfarin, 68, 310311Water turnover rate, in child, 711Wegeners granulomatosis, 127, 170, 171Weight gain, pregnancy and, 497Wernickes encephalopathy, 486Western blot test, 129, 379White blood cells, 127Wilms tumor, 718, 721i722iWithdrawal, 449Woods light test, 354Word salad, 438, 440XX-rays, 228chest, 34, 78, 594, 600, 608in child, 608, 666667kidney-ureter-bladder, 322, 714skull, 186ZZidovudine, during pregnancy, 562Zygote, 500i refers to an illustration; t refers to a table.
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ASBESTOSISKey signs and symptoms Dry crackles at lung bases Dry cough Dyspnea on exertion (usually first symptom) Pleuritic chest painKey test results Chest X-rays show fine, irregular, and lineardiffuse infiltrates; extensive fibrosis results in ahoneycomb or ground-glass appearance.
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Sickle Cell Disease and Other Hemoglobinopathies.
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Teaching topics Explanation of the disorder and treatmentplan Drug therapy Home O2 therapy Dietary recommendations Planning of daily activitiesLung cancerIn lung cancer, unregulated cell growthand uncontrolled cell division result in thedevelopment of a neoplasm.
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PMBrush up on key concepts31Cardiovascular refresher (continued)THORACIC AORTIC ANEURYSM (CONTINUED) Review laboratory test results, which must include a completeblood count, differential, electrolytes, typing and crossmatchingfor whole blood, ABG studies, and urinalysis.
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Teaching topics Explanation of the disorder and treatmentplan Medication use and possible adverse effects Preventing meningitis (teach clients withchronic sinusitis or other chronic infectionsthe importance of proper medical treatment) Recognizing signs of meningitis Contagion risks; notifying anyone whocame in close contact with the clientMultiple sclerosis207cord.
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