The nurse suspects the older adult patient will require ...

[james9437]

The nurse suspects the older adult patient will require diagnostic testing for possible lung cancer when the patient does which of the following? (Select all that apply.)
 
  a. Reports smoking two packs of cigarettes daily
  b. Reports severe chest pain
  c. Loses 10 pounds in 1 month
  d. Takes several naps daily
  e. Locates a palpable lump on the left lateral chest

Question 2

A patient has increased total iron binding capacity and transferrin levels. What action by the nurse is best?
 
  a. Prepare to administer vitamin B12.
  b. Encourage the patient to eat protein.
  c. Ensure the patient gets sun exposure.
  d. Prepare the patient for chelating therapy.

[johnpizzaz]

Answer to Question 1

A, C, D
The classic clinical presentation of lung cancer is a persistent cough, sputum streaked with blood, chest pain, and recurring pneumonia or bronchitis. This constellation of symptoms is also asso-ciated with cigarette smoking, and their significance as indicators of cancer may be overlooked. Other symptoms include more systemic complaints such as anorexia, weight loss, and fatigue. Older persons more often experience dyspnea and weight loss, whereas pain is less frequent.

Answer to Question 2

B
High levels of transferrin and iron binding capacity may indicate iron deficiency anemia, so the nurse encourages the patient to eat more protein. The other options are not appropriate.