The nurse is caring for four clients in an oncology unit. Following report on diagnosis and treatment, which client would the nurse identify as having the most life-threatening diagnosis?
A) A client with stage IV cancer receiving palliative care
B) A client diagnosed with a stage one tumor with no lymph node involvement
C) A client receiving chemotherapy and radiation with a low blood count
D) A client with an estrogen receptor–positive tumor receiving oral chemotherapy
A
Feedback:
The client with stage IV cancer, indicating metastasis, and receiving palliative care, which includes comfort measures, is in highest life-threatening condition. A client with a stage I tumor and no lymph node involvement has a good prognosis as the cancer has been caught at an early stage. A low blood count is common when the client is receiving chemotherapy. It is common to have chemotherapy and radiation is a treatment regimen. Clients have experienced good prognosis with estrogen receptor positive tumor treatment of oral chemotherapy.
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