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Question 15: 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:
A. Risk for injury related to possible metastasis and subsequent airway obstruction
B. Imbalanced nutrition; less than body requirements related to dysphagia
C. Ineffective airway clearance related to tumor growth and metastasis
D. Acute pain related to pressure of the tumor on surrounding tissues and nerves
Correct Answer: B
Explanation: 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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