A patient with a mediastinal tumour has facial swelling, distended neck veins and increasing breathlessness. Which nursing action is the priority?
Correct answer: B. Place the patient upright and administer prescribed oxygen
- A. Position the patient flat for complete rest
- B. Place the patient upright and administer prescribed oxygen
- C. Encourage oral fluids to reduce blood thickness
- D. Massage the neck to improve venous drainage
Explanation
These findings suggest superior vena cava obstruction with impaired venous return and breathing difficulty. Upright positioning and prescribed oxygen support breathing, while a flat position and neck massage can worsen venous congestion.
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About Oncology Nursing
Covers cancer biology, tumour staging, common malignancies and nursing care during surgery, chemotherapy, radiotherapy, immunotherapy and palliative treatment. It includes managing nausea, pain, fatigue, mucositis, neutropenia and extravasation, while distinguishing expected treatment effects from dangerous complications requiring urgent action.
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