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Exam Code: ISO-IEC-Fnd

Exam Name: ISO / IEC 27002 Foundation

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Related Certification: ISO / IEC 27002 Foundation

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