Author Question: The client is a very thin, emaciated 86-year-old who reports the new onset of shortness of breath. A ... (Read 98 times)

Bernana

  • Hero Member
  • *****
  • Posts: 530
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

  • Sr. Member
  • ****
  • Posts: 319
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.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

Less than one of every three adults with high LDL cholesterol has the condition under control. Only 48.1% with the condition are being treated for it.

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

Did you know?

The immune system needs 9.5 hours of sleep in total darkness to recharge completely.

For a complete list of videos, visit our video library