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학습 자료 둘러보기 →For a client undergoing concurrent chemoradiotherapy for lung cancer, the highest priority is monitoring for radiation pneumonitis. This life-threatening complication can present subtly with non-productive cough, dyspnea, and low-grade fever.
Apply the ABC framework. A respiratory assessment, including auscultation and SpO2 monitoring every 4 hours, directly addresses the 'Breathing' component and takes precedence over nutrition, skin care, or nausea management.
Do not dismiss new or worsening respiratory symptoms as simple fatigue. Instruct the client to report any cough or shortness of breath immediately, as early intervention with corticosteroids is critical to prevent irreversible pulmonary fibrosis.
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