The client is a very thin, emaciated 86-year-old who reports the ...

[Bernana]

The client is a very thin, emaciated 86-year-old who reports the new onset of shortness of breath. A chest x-ray reveals a spot on the lungs that the physician believes is an inoperable lung cancer.
 
  The client's emaciated status would exclude the option of chemotherapy, and the physician says the location of the cancer would make radiation therapy unsuccessful. In advocating for this client, the nurse would encourage the health care team to: 1. Perform any procedure necessary to diagnose this suspected cancer.
   2. Promote the use of noninvasive procedures to diagnose the suspected cancer.
   3. Provide palliative care to treat the signs and symptoms without diagnostic testing.
   4. Determine the client and family's wishes regarding diagnostic testing.

Question 2

A client is admitted with a gunshot wound to the leg. Which of the following nursing diagnoses would be important to include in this client's plan of care?
 
  1. Anxiety
   2. Ineffective Coping
   3. Risk for Infection
   4. Situational Low Self-Esteem

[tofugiraffe]

Answer to Question 1

4. Determine the client and family's wishes regarding diagnostic testing.

Rationale:
An elderly emaciated client with few options for treatment of cancer if confirmed may 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. Risk for Infection

Rationale:
A client with a gunshot wound is at risk for infection because the wound is severe and caused by trauma. The other nursing diagnoses may or may not be appropriate for the client at this time.

[Bernana]

Thanks

[tofugiraffe]

Welcome