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1. Acupuncture Con- Lymphedema is a contraindication for acupuncture in chemotherapy patients.
traindication
2. IV Infusion Calcula- Calculating 33 gtt/min for lactated Ringer's with 10 drops/mL IV tubing.
tion
3. Sublingual Nitro- Client understanding indicated by 'I should lie down when taking this medica-
glycerin Teaching tion.'
4. Total Hip Arthro- Include 'Install a raised toilet seat' in discharge teaching for older adult clients.
plasty Instruction
5. Cardiac Catheteri- Maintain the affected extremity in extension post-cardiac catheterization.
zation Care
6. Role Adaptation Client adapting to role change by delegating grocery shopping and cooking.
7. Immune System Teach to wash peri area twice daily with antimicrobial soap for chemo patients.
Teaching
8. Thirst and Urinary 4,000 ml output may lead to desmopressin prescription for client with contusion.
Output
9. ACE Inhibitor Side Suggest lozenge for nagging dry cough in a client on ACE inhibitor therapy.
Effect
10. Raynaud's Disease Nicotine patch use can exacerbate Raynaud's disease in clients.
Trigger
11. Central Venous De- In case of disconnection, place the client on the left side in Trendelenburg
vice Disconnection position.
12. Skin Integrity In- Support bony prominences with pillows for a client with reddened areas over
tervention bony prominences.
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13. Multiple Sclerosis Prioritize listing coping strategies for family dealing with role changes in MS
Priority Action client.
14. Colorectal Cancer History of Crohn's disease increases the risk of colorectal cancer.
Risk Factor
15. Client's Mastecto- Offer additional information about the mastectomy procedure to the client.
my Concern
16. Packed RBCs Sequence: venous access, obtain RBCs, verify compatibility, initiate transfusion,
Transfusion Steps monitor client.
17. Modified Radi- Expect less than 25 ml drainage per day in teaching for post-mastectomy care.
cal Mastectomy
Teaching
18. Glasgow Coma Assign a score of 5 for a client with decerebrate posturing and incomprehensible
Scale Scoring sounds.
19. Heart Failure Sodi- Client understands teaching if they mention having a frozen fruit juice bar for
um Intake dessert.
20. Ocular Irrigation First action: instill 0.9% sodium chloride solution into the affected eye
Priority post-chemical splash.
21. Extubation Compli- Immediate intervention needed for stridor post-extubation in a ventilated client.
cation
22. Acute Pancreatitis Expect elevated blood glucose in a client with acute pancreatitis.
Finding
23. Diabetes Insipidus Urine specific gravity of 1.001 is expected in a client with diabetes insipidus.
Finding
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