🥗A referral to a dietitian is indicated because the client has unintentional weight loss, decreased appetite, and nutritional deficits. Nutritional support is essential in managing cancer-related cachexia.

💉An arterial catheter is not necessary unless the client is critically ill and needs frequent arterial blood gas monitoring—which is not indicated in this case.

💁‍♂️Oxygen therapy at 2 L/min via nasal cannula is appropriate, especially since the client has dyspnea and a SpO₂ of 90%, which improved with oxygen support.

💨A therapeutic thoracentesis is not indicated because the chest x-ray showed no pleural effusion, which is the primary indication for the procedure.

🛌Sleeping in a reclining position or with the head elevated helps ease dyspnea, improves lung expansion, and promotes oxygenation in lung-compromised clients.

📌Core Message

Care should include nutritional support, oxygen therapy, and positioning for comfort, while avoiding unnecessary invasive procedures.