Author Question: The nurse monitoring the oncological client for early signs of vena cava syndrome would include ... (Read 51 times)

iveyjurea · **on:** Jul 22, 2018

The nurse monitoring the oncological client for early signs of vena cava syndrome would include assessment for which of the following?

1. Cyanosis
2. Arm edema
3. Periorbital edema
4. Mental status changes

Question 2

The physician prescribes 500 mL of 0.9 normal saline to run over 6 hours. The drop factor is 10 drops/1 mL. The nurse adjusts the flow rate to run at how many drops per minute? (Enter the answer in the space provided.)

What will be an ideal response?

Tonny · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3

Rationale: Vena cava syndrome occurs when the superior vena cava is compressed or obstructed by tumor growth. Early signs and symptoms generally occur in the morning and include edema of the face, especially around the eyes, and client complaints of tightness of a shirt or blouse collar. As the compression worsens, the client experiences edema of the hands and arms. Mental status changes and cyanosis are late signs.

Answer to Question 2

__________ drops per minute