Which of the following individuals is most clearly in need of diagnostic testing for lung cancer?
A) A client who has required hospitalization with a fever and the production of copious lung secretions
B) A client with a history of secondary tuberculosis who failed to complete his prescribed course of antibiotics
C) A woman who complains of recurrent lower respiratory infections and who has sought care for increasing shortness of breath
D) A man who demonstrates wasting of the pelvic and shoulder muscles combined with signs of hypercalcemia
Ans: D
Feedback:
Hypercalcemia and wasting of the proximal muscles of the pelvic and shoulder girdles are indicative of the paraneoplastic manifestations of lung cancer. The other cited respiratory conditions warrant follow-up and treatment but are not particularly suggestive of a neoplastic etiology.
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