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Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher
Edition 9ISBN: 978-0323086783Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher
Edition 9ISBN: 978-0323086783 Exercise 19
CASE STUDY Cancer Patient Profile R.M. is a 65-year-old African American man who was recently diagnosed with metastatic lung cancer. He began treatment with chemotherapy through a peripherally inserted central venous catheter 5 days ago. Subjective Data
• States he has almost continuous nausea, which becomes severe and causes vomiting following his dose of chemotherapy
• States he has no appetite
• Expresses no hope that the chemotherapy will have a positive effect Objective Data
• Temp: 99.4°F (37.4°C)
• WBC count: 3200/µL (3.2 × 10⁹/L)
• Neutrophils: 500/µL (0.5 × 10⁹/L)
• Skin warm with decreased turgor
-Priority Decision: What are the priority nursing measures that should be used to help control his anorexia, nausea, and vomiting?
• States he has almost continuous nausea, which becomes severe and causes vomiting following his dose of chemotherapy
• States he has no appetite
• Expresses no hope that the chemotherapy will have a positive effect Objective Data
• Temp: 99.4°F (37.4°C)
• WBC count: 3200/µL (3.2 × 10⁹/L)
• Neutrophils: 500/µL (0.5 × 10⁹/L)
• Skin warm with decreased turgor
-Priority Decision: What are the priority nursing measures that should be used to help control his anorexia, nausea, and vomiting?
Explanation
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Nursing measures:
• Use antiemetic prot...
Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher
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