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overachiever2 overachiever2
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8 years ago
Hesi Case Study Lung Cancer Evolve Mr. Prieto
1.   B- You will need to remove jewelry, such as neck chains.
2.   B- Assess for return of the client’s gag reflex.
3.   B- Both of Mr. Prieto’s parents were heavy cigarette smokers, and his father died of lung cancer.
4.   D- Sit quietly with the couple and allow them the opportunity to talk.
5.   C- Staging helps determine the client’s prognosis and best treatment.
6.   D- Subclavian vein
7.   B- Notify radiology of the need for an x-ray.
8.   D- Fluid infiltration
9.   200
10.   B- Leukopenia
11.   B- Evaluate the client’s level of pain regularly
12.   B- Connect the previously prescribed intravenous fluid line (0.9 NSat 60 ml/hr) and increase the fluid rate.
13.    A- Advise the other RN that vigorous cold pack massage may cause tissue damage.
14.   A- Fear
15.   D- Tell me what makes you afraid.
16.   B- Request a visit by the Catholic chaplain.
17.   D- Continue to monitor the drainage system regularly.
18.   D- Observe Mr. Prieto’s respirations.
19.   B- Inspect the insertion site and tubing to check for air leaks.
20.   A- Ask Mr. Prieto to cough and change positions.
21.   A- As an important and valued source of support when family decisions must be made.
22.   D- Comfort with close proximity to others in the group is desired.
23.   B- Justice
24.   B- Ask some of the Prieto family to wait in another area, such as the cafeteria
25.   C- Mr. Prieto will not develop impaired skin integrity
26.   Select all that apply: C- Gently wash the area with a mild soap and pat the skin dry. E- Do not apply lotions, creams or other products to the skin unless prescribed by the HCP
27.   B- Registered dietician
28.   C- Hospice provides care to persons with a limited life expectancy
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