Answer to Question 1
4
Rationale: An elderly emaciated client with few options for treatment of cancer if confirmed can be best treated palliatively, but it is the choice of the client and family that should direct the plan of care and choices of diagnostic testing.
Answer to Question 2
3
Rationale: The client is most likely having a blood transfusion reaction, and the priority intervention, before doing anything else, is to make sure that the client does not receive any more blood. After the infusion is stopped, the RN should be notified, vital signs should be recorded, and new IV solution should be hung using fresh tubing, but the first and most important priority is to stop infusing the blood that is causing the reaction.