A client with lung cancer is experiencing edematous face and ...

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A client with lung cancer is experiencing edematous face and arms. What should be the priority intervention for this client?
 
  1. Order laboratory studies to support the assessment.
  2. Pad the bed to provide safety if the client seizes.
  3. Bring the crash cart to the bedside.
  4. Support the client's respiratory status.

Question 2

The nurse is reviewing instructions with a client newly diagnosed with cancer on self-care. What should the nurse emphasize during this teaching?
 
  1. Brush the teeth at least once a day.
  2. Use a very soft toothbrush.
  3. Use half-strength peroxide to brush the teeth.
  4. Eat foods high in vitamin C.

[T4T]

Answer to Question 1

Answer: 4

1. The physician orders laboratory studies.
2. Since the client can experience respiratory distress with superior vena cava syndrome, the priority is not padding the bed in case the client seizes.
3. The crash cart might be necessary but not before the client's respiratory needs have been met.
4. The nurse should determine the need for oxygen and degree of respiratory distress and notify the physician. The nurse might prepare for a tracheostomy.

Answer to Question 2

Answer: 2

1. The patient should be instructed to brush in the morning, after meals, and at bedtime to decrease bacteria in the mouth.
2. The nurse should teach the client to use a very soft toothbrush to prevent bleeding and mouth irritation.
3. Peroxide will cause dryness and subsequent cracking of mucous membranes, which can lead to infection.
4. Foods high in vitamin C are acidic and can cause irritation of the mucous membranes.