Lung Cancer

The nurse is caring for a patient who has lung cancer. The nurse creates a teaching plan about brachytherapy for the patient. Which information should the nurse to include?

Brachytherapy uses a radioactive source that is implanted in the body to deliver a high dose of radiation to the tumor.

Which physical assessments would be most important for the nurse to include as a part of focused assessment for a patient with lung cancer?

Breath sounds and pulse oximetry

A patient is admitted with squamous cell lung cancer. Which type of medication should the nurse anticipate administering to the patient for reducing airway obstruction

Bronchodilator

The nurse is teaching colleagues about bronchogenic cancer. Which information should be included?

Bronchogenic cancer frequently spreads via the lymph system to other organs.

The healthcare provider is scheduled to perform a diagnostic test that will visualize and obtain a tissue sample of a patient's lung tumor. Which diagnostic test should the nurse anticipate the healthcare provider to perform?

Bronchoscopy

The client with lung cancer who presents with dysphagia likely has a tumor located​ where?

By the esophagus

The community health nurse is conducting a class on smoking cessation. One patient states, "I've been smoking for 30 years. I am too old to quit." Which statement by the nurse is most appropriate?

"Smoking cessation can reverse the damage it causes, so it is never too late to quit."

The nurse is teaching a patient about the pathophysiology of paraneoplastic syndromes. Which patient statement indicates an understanding of the teaching?

"They are symptoms that I will have in other parts of my body, but will be caused from the tumor in my lungs."

The nurse is teaching a patient with small-cell carcinoma about the disease. Which statement by the nurse is accurate?

"You have the type of lung cancer that grows rapidly and spreads early."

A patient is receiving chemotherapy and radiation therapy for lung cancer. The nurse plans to instruct the patient on how to maintain proper nutrition during treatment. Which instruction should the nurse include?

Avoid spicy, overly sweet and fatty foods

The nurse is caring for a​ 72-year-old client who was just diagnosed with early stage lung cancer. What is an important independent nursing intervention that can improve the​ client's prognosis?

Advocate for an immediate initiation of treatment

Which individuals are more likely to develop lung cancer without a history of​ smoking?

An individual with a genetic abnormality on chromosome 6

Which symptom should the nurse consider a systemic clinical manifestation of lung cancer?

Anorexia

The nurse is planning care for a patient admitted with end-stage lung cancer. Which potential problem should the nurse anticipate as being associated with the patient's psychologic needs?

Anticipatory Grieving

For which test should the nurse prepare a patient to diagnose the type of lung cancer tumor?

Biopsy and cytologic examination

Which is a risk for the development of lung cancer?

Cigarette Smoking

The nurse is teaching a patient with a new diagnosis of small-cell lung cancer about treatment options. Which should the nurse identify as the most expected treatment of choice for this type of cancer?

Combination chemotherapy

The nurse is teaching a patient with lung cancer about systemic manifestations. Which manifestation associated with the gastrointestinal (GI) system should the nurse include in the teaching session?

Dysphagia, or difficulty swallowing

A patient is given a new diagnosis of lung cancer. Which position is optimal if the patient is experiencing difficulty breathing?

Elevating the head of bed to 60 degrees.

The community health nurse conducts a teaching session for a group of community members on lung cancer. A member of the group asks the nurse, "What are the causes of lung cancer?"Which entity should the nurse not include as a risk factor for lung cancer? Smoking Radon Genetics Abestos

Genetics

The nurse caring for a patient after resectional lung surgery for a diagnosis of lung cancer recognizes the importance of helping the patient manage fatigue and activity intolerance.Which intervention is appropriate for the nurse to include in the patient's plan of care? Placing needed objects at places where the patient needs to move and reach for them Clustering care activities so that all are completed at one time Discouraging family involvement in patient care Instructing the patient to sit while showering

Instructing the patient to sit while showering

A nurse is caring for a client recovering from a wedge resection of the left lung for a tumor. What would be appropriate goals for the nursing diagnosis of ineffective airway​ clearance? Select all that apply. Maintain a patent airway. Express feelings and concerns. Maintain current weight. Participation in care by the client Minimize accumulation of fluid.

Maintain a patent airway. Minimize accumulation of fluid.

Which statement demonstrates that the nurse understands why activity level important in treating lung cancer?

Physical activity Improves physical and mental well-being.

The nurse is planning care for a patient admitted for lung cancer. Which nursing intervention addresses the potential problem of activity intolerance?

Planning Rest Periods

The nurse is planning care to address ineffective airway clearance for a client with lung cancer. Which interventions should the nurse include in the​ client's plan of​ care? Select all that apply. Provide chest percussion as ordered. Help the client​ turn, cough, and deep breathe as needed. Administer pneumococcal vaccine. Educate the client about smoking cessation. Suction the airway as needed.

Provide chest percussion as ordered. Help the client​ turn, cough, and deep breathe as needed. Suction the airway as needed.

Which type of lung cancer typically spreads by local​ invasion?

Squamous cell carcinoma

The nurse is caring for a patient undergoing combined chemotherapy and radiation therapy for lung cancer. Which assessment leads the nurse to determine that the treatment is effective?

The patient's oxygen saturation while walking the hall is 92%.

The nurse caring for a patient with lung cancer following a lung resection surgery teaches the patient to splint the incision with a pillow. What is the reasoning behind this intervention?

To promote Airway Clearance

The nurse performs a nursing assessment for a patient who may have lung cancer. Which finding in the patient's history and physical examination would support this diagnosis? Visual Disturbances Elevated Blood glucose level Pulse Ox reading of 92% Unintentional weight loss

Unintentional Weight Loss

The nurse is providing discharge teaching to an older adult client with lung cancer. What changes in activities of daily living can the nurse suggest to help the older adult maintain​ independence?

Use a shower chair

A patient with adenocarcinoma lung cancer is scheduled for a procedure to remove peripheral lung tissue. The healthcare provider explained the procedure, but the patient asked the nurse for further explanation. Which procedure would the nurse discuss with the patient?

Wedge Resection

The nurse is caring for a client in a community clinic who wishes to quit smoking. The client asks the​ nurse, "If I quit​ smoking, will my risk of lung cancer be the same as a​ nonsmoker?" Which is the best response by the​ nurse?

Your risk of lung cancer will decline if you quit, but it will remain higher than a nonsmokers.

The nurse is caring for a client who is undergoing diagnostic tests to rule out lung cancer. The client asks the nurse why a computed tomography​ (CT) scan was ordered. What is the best response by the​ nurse?

​"It is more specific in diagnosing your​ condition."