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Key treatments Individual therapy Clonidine (Catapres) for opiate withdrawalsymptoms Methadone maintenance for opiate addictiondetoxification Levo-alpha-acetylmethadol to treat heroinaddictionKey interventions Ensure a safe, quiet environment free fromstimuli.

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Teaching topics Explanation of the disorder and treatmentplan Medication use and possible adverse effects Using a hearing aid Avoiding loud noises and sudden pressurechanges until healing is complete Avoiding (for at least 1 week) blowing thenose to prevent contaminated air and bacteriafrom entering the eustachian tube Protecting the ears against cold Avoiding activities that provoke dizziness Changing external ear dressings313419NCLEX-RN_Chap06.

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CAUSESAutoimmune diseaseBlockage of insulin supplyFailure of body to produce insulinHyperpituitarismHyperthyroidismInfectionCONTRIBUTING FACTORS Cushings syndrome Exposure to chemicals Genetics Medications Pregnancy Receptor defect in normally insulinresponsive cells Obesity Stress Surgery TraumaASSESSMENT FINDINGSAcetone breathAnorexiaAtrophic musclesBlurred visionDehydrationFatigueFlushed, warm, smooth, shiny skinKussmauls respirationsMottled extremitiesMultiple infections and boilsPainParesthesiaPeripheral and visceral neuropathiesPolydipsiaPolyphagiaPolyuriaIn diabetesmellitus, the bodyproduces little orno insulin or resiststhe insulin it doesproduce.

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NCLEX keysClient needs category: Physiological integrityClient needs subcategory: Reduction of riskpotentialCognitive level: Application NCLEX keysClient needs category: PhysiologicalintegrityClient needs subcategory: Reduction of riskpotentialCognitive level: Comprehension313419NCLEX-RN_Chap32.

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Teaching topics Explanation of the disorder and treatmentplan Medication use and possible adverse effects Physical therapy313419NCLEX-RN_Chap06.

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CEREBRAL ANEURYSMKey signs and symptoms Headache (commonly described by the client as the worst hehas ever had) Altered level of consciousnessKey test results Cerebral angiogram identifies the aneurysm.

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