The client is a 64-year-old man with late-stage small cell lung cancer being cared for in the home by his 63-year-old wife. Which nursing diagnosis has the highest priority for you as the home care nurse in teaching the wife how to manage symptoms?

A. Imbalanced Nutrition: Less than Body Requirements related to fatigue and in-creased metabolism
B. Constipation related to decreased activity and medication regimen
C. Activity Intolerance related to dyspnea and fatigue
D. Acute Pain related to metastasis


D
Although all the listed nursing diagnoses are important issues, effective pain management is the most important issue for this client and family. The home care nurse must serve as a client advo-cate and ensure that all appropriate measures for management of intractable, severe pain are im-plemented.

Nursing

You might also like to view...

A patient is being treated with quinidine to reduce automaticity. The nurse should advocate for a lower-than-normal dose if the patient has a history of

A) type 1 or type 2 diabetes. B) primary hypertension. C) liver disease. D) chronic obstructive pulmonary disease.

Nursing

In which of the following ways are occupational health nurses (OHNs) role models of good community health nursing? (Select all that apply.)

a. The majority of OHNs are prepared at the baccalaureate level or higher. b. OHNs actively influence policy in health and safety within a particular area. c. OHNs are skilled at assessing both people and their home environment. d. OHNs focus on health promotion and avoidance of injury or disease. e. OHNs plan and implement health programs for populations of employees. f. OHNs work closely with physicians in planning and implementing care for individuals and families.

Nursing

Explain what is meant by this statement: "Art is a path of inquiry and a way to generate understanding of the human experience."

Fill in the blank with the appropriate word.

Nursing

Newborns usually have a bowel movement:

a. 3 times a day. b. 6 times a day. c. With every feeding d. In the morning and at bedtime

Nursing