Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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Baby Boy Holiday was admitted to the unit due to cancer of the esophagus. The laboratory values show a hemoglobin of 7g/dL, hematocrit of 25%, and RBC count of 2.5 million/mm³. Considering the data, an appropriate nursing diagnosis for the patient at this time would be:
  1. Risk for injury related to possible metastasis and subsequent airway obstruction
  2. Imbalanced nutrition; less than body requirements related to dysphagia
  3. Ineffective airway clearance related to tumor growth and metastasis
  4. Acute pain related to pressure of the tumor on surrounding tissues and nerves
Explanation
Answer - B - Considering the data, an appropriate nursing diagnosis for the patient at this time would be imbalanced nutrition; less than body requirements related to dysphagia. The decreased hemoglobin and hematocrit levels and RBC count may be a result of malnutrition; also, cancer of the esophagus can cause dysphagia and anorexia.
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