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90 Cards in this Set
- Front
- Back
Male genetalia is classified as what kind of structures
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internal and external structures
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what are the two uses for the Penis
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urination
reproduction |
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external genetalia include
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shaft, glans, scrotum, scrotal sac
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testes are not even due to
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development - causes them to not grow symetrically
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the scrotal temperature is what
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a degree or two less externally
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the scrotum is external , this is useful for what
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sperm to thrive
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Internal structure that holds testes in scrotum
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spermatic cord
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internal structure , cone shaped over testicles that covers the upper and posterior region
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epididymis
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internal structure that is muscular tube into spermatic cord to abdominal cavity
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vas deferens
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located between the anterior superior iliac spine laterally and symphysis pubic medially, frequent site of hernias
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inguinal area
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a hernia can be caused by
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bowel or intestine moving into inguinal area
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where do sperm mature at?
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internal- Epididymis
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what take sperm away from the testes
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internal- spermatic cord
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dilated veins of the spermatic cord, made up of veins that contain inadequate valves, can be frelt and sometimes seen as a tortuous mass on surface of scrotum (worms)
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varicocele
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position for a physical assessment of male genetalia is
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standing
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the patient should do what before assesment
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empty bladder
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what should you do first before the procedure of physical assessment
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explain to patient what you are doing
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male self exam MSE should be done when
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monthly, starting at PUBERTY
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if a scrotal mass is found during physical assessment of male genetialia, what should happen
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Auscultate and Transilluminate
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is the accumulation of fluids around a testicle, and is fairly common.
due to fluid secreted from a remnant piece of peritoneum wrapped around the testis, called the tunica vaginalis. It can be the result of cancer, trauma (such as a hernia), or orchiti |
hydrocele
(transillumate to see fluid) |
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wellness nursing diagnosis
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health-seeking behavior : requests information on Testicular Self Exam
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target age group for TSE -testicular self exam
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15-25 years, montly
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risk factors for testicular cancer is
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unknown
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who most commonly gets TESTICULAR CANCER
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CAUCASIONS
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early detection of testicular cancer is usually
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asymptomatic
"pt says area feels heavy, large" |
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RN diagnosis
RISK FOR INJURY TO GENITALIA related to poor lifting technique |
RN diagnosis
DISTUBRED BODY IMAGE related to hernia repair |
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a collaborative problem is erectile dysfunction, which can be due to
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antihypertension
meds |
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For a phbysical assessment, you must first
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ID CLIENT
EXPLAIN PROCEDURE DO Testicular Exams Last |
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The INGUINAL area is located where
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between the ANTERIOR SUPERIOR ILIAC SPINE LATERALLY
and SYMPHYSIS PUBIS MEDIALLY |
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BREAST AND LYMPHATIC ASSESSMENT
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BREAST AND LYMPHATIC ASSESSMENT
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1 out of eveyr _____ women will have breast cancer
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8
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1 out of every ______ women will die from breast cancer
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33
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paired mammory glands are known as
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breasts
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breasts lie where
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over muscles - anterior chest wall - anterior to pectoralis major, serratus anterior.
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breasts extend how
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horizontally
verticallly |
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what is the major muslce of the breast
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pectoralis major
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breasts for male and female are most similar during
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infancy
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female breasts begin to change from male when and how
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during Puberty because of
Estrogen and Progesterone |
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name two things breasts are needed for
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produce and store milk
sexual stimulation |
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upper outer quadrant of breasts, where the lymph nodes is called
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tale of spence!
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most lumps, bumps and cancers can be foudn where
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the tale of spence!
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what filter bacteria and viruses, return water and protein to blood
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lymph nodes
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what perfecent of lumps found in a BSE are benign
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80 percent
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where is the tale of spence located
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Upper Outer Quadrant down to armpit
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what is bean like - run close to areteries and veins.... determine degree of treatment
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lymph nodes
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lymph nodes are important to what?
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the immune system
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what do the major axillary lymph nodes consist of
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anterior (pectoral)
posterior (subscapular) lateral (brachial) central(midaxillary nodes) |
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surrounds the nipple contains sebaceous glands, hair follicles, smooth musckle fibers that contract nipple with stimulation
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areola
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3 tyoes of internal tissue of breasts
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glandular
fibrous fatty |
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functional part of breast, milk production here
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glandular
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this varies, determinees the size of breast
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fatty tissue
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supports granular tissue
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fibrous tissue
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where is the best place to start a BSE
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start at CLAVICLE into ARMPIT
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how to perform a BSE?
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Standing, in shower is a good place
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when the pt starts outside, and goes in a circular pattern, what is this called
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concentric circles
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when in cycle should you start to BSE
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4-7 days after first bleeding after cycle
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steps for a breast exam assessment
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ID PT
WASH HANDS INSPECT SKIN, ALV, NIPS BREASTS ASSYMETRICAL WARM HANDS PALPATE |
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Inspect breatss for
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size and symmetry
color and texture superficial venous pattern |
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Palpate breasts in WHAT position
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SUPINE
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Any nipple discarge purulent, bloody, clear , is NOT normal and requires a
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refferal
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male enlarged breasts, this can be due to excess estrogen or marijuana use
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gynecomastia
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what is the most common form of breast cancer for men
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same as women,
INFILTRATING DUCTILE CANCER |
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wellness RN diagnosis example
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Opportunity to enhance management of breasts
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RN diagnosis
RISK FOR INEFFECTIVE MANAGEMENT OF THERAPUETIC REGIMEN |
Rn diagnosis
BODY IMAGE DISTUBANCE related to MASTECTOMY |
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3 KEYS TO ASSESSMENT
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explain/ rationale
do a thorough exam palpate and document |
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if your pt has an absess or infection or hematoma, you must do what
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collarboative problem, with md
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is a collection of blood outside the blood vessels,[1] generally the result of hemorrhage, or more specifically, internal bleeding.
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hematoma
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check nipples for
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retraction (pulled in) or dimpling
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during palpation, you must compress nipple for
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signs of discharge
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3 systmeatic methods for breast exams
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concentric circles
wedge vertical strip |
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INTEGRATION OF HEALTH ASSESSMENT
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INTEGRATION OF HEALTH ASSESSMENT
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Folstein test is a brief 30-point questionnaire test that is used to screen for cognitive impairment. It is commonly used in medicine to screen for dementia. It is also used to estimate the severity of cognitive impairment at a given point in time and to follow the course of cognitive changes in an individual over time, thus making it an effective way to document an individual's response to treatment.
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mini mental status exam MMSE
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MMSE under 25 indicates
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cognitive dysfunction, dementia maybe diagnosed
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Examine clients Genitalia when?
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examine genetalia last to establish repore with patient before touching.
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FRAIL ELDERLY ARE INCREASINGLY VULNERABLE - WHAT ARE THE CHANGES?
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thin skin, cool, nails brittle, thin hair, eye vision decreased, presbyopia, dedcreased tear production, cataract formation > 55, pupil changes, pupil gets smaller, harder to see in dark, hearing decreased presbycuspis, cannot hear high pitch sounds, cerumen wax buuildups, wrinkles, neck OA, kyphosis.
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leading cause of death in the elderly is
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CAD
Coronary Artery DiSEASE |
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because more energy is needed to breath, you can see this when observing the frail elderly
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increased accessry muscle use
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aging brings about
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constipation
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Most common cause of a lower GI bleed is a
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MASS
shown by decreaed HGB level |
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pain, fever, lab values are less relaible in elderly because there normals are not truly normal due to aging - this is known as
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geriatric syndrome
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what is useful to have in room to check for the swallowing exam
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pudding, similar to pudding
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how many pillows are needed for elderly comfort
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2-3 pillows
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poverty, living alone, isolationm, poor nutritional knowledge, psychiatric - these can all lead to
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involuntary weight loss
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begin timing, rise from standard arm chair, walk to line on floor 10 feet away, turn and return to chair, sit in chair again end timing
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this is the Timed Get up and Go test
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the timed get up and go test is ONLY for person able to
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walk without assistance
< 30 seconds |
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health compaints or abnormalites are as likely to be result of _________________ then to disease
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ADVERSE REACTION TO DRUG THERAPY (meds)
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Compile profile o prescription and OTC drugs used by client
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have htem use 1 PHARMACY!
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effective treatment of elderly depends on what
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how early disease prevention interventions are implemented and how many remaining physiologic reserves are perseved
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wellness RN diagnosiS
READINESS FOR ENHANCED EFFECTIVE CARE GIVING |
RN diagnosis
RISK FOR LONELINESS related to changing role and decreasing functional status |
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RN Diagnosis
INEFFECVITE ROLE PERFORMANCE related to chronic illness |
Collaborative problem with MD
PNEUMONIA |