Case Study R.M., a 58-year-old Hispanic widow, recently unde…
Case Study R.M., a 58-year-old Hispanic widow, recently underwent radiation and chemotherapy following surgery for breast cancer. On a follow-up visit to the clinic, the nurse notes that R. M. appears thinner and more tired than usual. Subjective Data Reports no appetite since the treatment for cancer was started Feels “weak” and “worn out” Thinks the treatment for cancer has not been effective Lives alone in apartment in the inner city Is a naturalized citizen form Honduras Speaks English but does not read English very well Objective Data: Physical Examination Height 5ft, 2 in (155) cm Weight: 92 lbs. (41.8kg) Vital signs: BP 98/60mm Hg.HR 60 beats/min, RR 12 breaths/min Ulcerations of her buccal mucosa membranes and tongue Laboratory Tests Serum albumin: 2.8 g/dl (28g/L) Hemoglobin (Hgb): 10g/dl (100g/l) Hct:32% Question 1 When planning care for R.M. the nurse determines what is the priority clinical problem for this patient.