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.
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.
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