Assignment task:
The nurse provides care for an older adult client in the medical surgical unit. Drag the choices below to fill in each blank in the following sentence. Each choice will only be used once. History and Laboratory Physical Results The nurse recognizes the client's hypercalcemia increases the risk for The client is admitted with increasing fatigue, generalized weakness, developing lethargy, and anorexia in the prior seven days. The spouse reports the client experiencing episodic memory lapses and confusion related to time and situation. The client was diagnosed four months ago with non small and cell lung cancer (NSCLC) in the left upper lobe. External radiation therapy to the left upper thorax was completed two weeks ago. The client has a dry, erythematous skin reaction to the left upper thorax. With no evidence of metastasis, the treatment plan may include adjuvant targeted therapy at a later time. Past medical history: Osteoporosis, chronic obstructive pulmonary disease (COPD). 20 year pack history smoking, quit 10 years ago. Physical exam: Neurologic: appears lethargic and weak, poor attention span. Bilateral 1+ patellar, ankle tendon reflexes. Skin: intact and dry, radiation erythematous changes present over left upper thorax. Apical heart rate 90, regular, no murmurs or rubs. Capillary refill less than 2 seconds, 2+ bilateral radial pulses. Respiratory rate 14, non labored breathing, bronchovesicular breath sounds in periphery. Coarse crackles, left upper lobe. Abdomen soft with hypoactive bowel sounds x 2 quadrants. Moves all extremities, no edema, 3/5 weakness bilateral lower extremities. Need Assignment Help?