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The Nurse Is Reviewing Data Collected on a Group of Patients

question 40

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The nurse is reviewing data collected on a group of patients being treated for cancer. Which patient or patients' cancer type, pathophysiology, and symptoms should the nurse identify as being consistent with the oncological emergency of superior vena cava syndrome?  Patient A  Patient B  Patient C  Patient D  Cancer Type  small cell lung  breast cancer  melanoma  squamous cell  cancer  lung cancer  Pathophysiology  Tumor presses  Thrombus  Tumor presses  Tumor presses  on superior  formed around  on the aorta  on inferior vena  vena cava  a central  causing arterial  cava thereby  thereby  venous catheter  compression  compressing it  compressing it  plugs the vena  resulting in  and causing  and causing  cava.  obstruction of  compression of  compression  the aortic  it and arterial  and venous  system.  obstruction.  system  obstruction.  Signs and  facial and  dyspnea,  pitting edema  chest pain Symptoms  periorbital  tachypnea, and  of the lower  accompanied by  edema  cyanosis  extremities  nausea \begin{array}{|l|l|l|l|l|}\hline &\text { Patient A } & \text { Patient B } & \text { Patient C } & \text { Patient D } \\\hline\text { Cancer Type }& \text { small cell lung }& \text { breast cancer } & \text { melanoma } & \text { squamous cell } \\& \text { cancer }& && \text { lung cancer } \\\hline\text { Pathophysiology }&\text { Tumor presses } & \text { Thrombus } & \text { Tumor presses } & \text { Tumor presses } \\&\text { on superior } & \text { formed around } & \text { on the aorta } & \text { on inferior vena } \\&\text { vena cava } & \text { a central } & \text { causing arterial } & \text { cava thereby } \\&\text { thereby } & \text { venous catheter } & \text { compression } & \text { compressing it } \\&\text { compressing it } & \text { plugs the vena } & \text { resulting in } & \text { and causing } \\&\text { and causing } & \text { cava. } & \text { obstruction of } & \text { compression of } \\&\text { compression } & & \text { the aortic } & \text { it and arterial } \\&\text { and venous } & & \text { system. } & \text { obstruction. }\\&\text { system } \\&\text { obstruction. } \\\hline \text { Signs and } &\text { facial and } & \text { dyspnea, } & \text { pitting edema } & \text { chest pain } \\\text {Symptoms } &\text { periorbital } & \text { tachypnea, and } & \text { of the lower } & \text { accompanied by } \\ &\text { edema } & \text { cyanosis } & \text { extremities } & \text { nausea }\\\hline\end{array}


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