Which finding would the nurse expect in a client with a tumor compressing the laryngeal nerve?
A) Hoarseness
B) Chest pain
C) Dyspnea
D) Weight loss
A) Hoarseness
Explanation: A) Hoarseness occurs if the laryngeal nerve is compressed or invaded by the tumor.
B) Chest pain varies with the lung cancer site. Mediastinal pain is generally dull and poorly localized. Retrosternal pain is poorly localized because pain receptors are limited to the peribronchial vagal afferent nerves, larger blood vessels, and mediastinum.
C) Dyspnea may be due to a pleural effusion (an accumulation of fluid within the pleural space), which compresses normal lung, resulting in shortness of breath.
D) Although systemic signs and symptoms of tumors do include fatigue and weight loss, these are not specific to laryngeal nerve compression.
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a. a blood pressure of 100/65 mm Hg. b. anxiety, restlessness, and confusion. c. warm, reddened areas in the calf. d. pinpoint red areas on the upper chest.