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Lung Cancer Med-Surg
Lung Cancer care in nursing
| Question | Answer |
|---|---|
| What is the leading cause of cancer related deaths? | Lung Cancer |
| In general, is the focus more on curative or palliative care in lung cancer? | Palliative |
| Which is the most common type of lung cancer? Non-small or small? | Non-small lung cancer is the most common. |
| Which is the fastest growing lung cancer and almost always associated with cigarettes? Non-small or small? | Small cell lung cancer is the fastest growing. |
| What does TNM stand for? | Tumor, Node, Metastisis |
| What is the primary choice of tx for lung cancer? | Chemotherapy |
| Lung cancer is often tx with a combination of chemo & radiation or surgery. T or F? | True |
| What is the greatest risk factor r/t lung cancer? | Cigarette smoke |
| What is an unlikely risk factor of lung cancer? | Inhaled environmental irritants |
| Which diagnositc test is used for the initial identification of a lung tumor? | Chest Xray or CT scan |
| Which diagnositc test is used to visualize the lung tumor? | Bronchoscopy. |
| Which diagnositc test validates cancer dx? | Biopsy |
| Lung cancer is usually recognized fairly early in pts? T or F? | False |
| Why might a pt be experiencing unilateral wheezing? | If airway obstructed |
| A pt has smoked 2 packs a day for 15 years. What are his pack years? | 30 pack years |
| Precautions r/t which body system are of most concern in a pt with lung cancer? | Respiratory |
| Which medication type product should be applied to a person with lung cancer? | Oxygen |
| Which of the following should be included in dietary teaching for a person with lung cancer. High cal, High fiber,low cal, high protein, low fiber, low protein? | High cal, high protein. |
| What teaching should the nurse provide r/t to lung cancer prevention? | Smoking cessation |
| Which position should a client with lung cancer be placed in? Low fowlers, high fowlers, prone, or supine? | High-Fowlers |
| A nurse is most concerned with which conept r/t ABC when caring for a pt w/ lung cancer. | Maintain airway! |
| The removal of lung | Pneumonectomy |
| The removal of a lobe | Lobectomy |
| The removal of a segment of a lung | Segmenectomy |
| Removal of peripheral lung tissue | Wedge resection |
| Post-lobectomy a nurse notices a 3 point drop in hemoglobin. This is likely due to which side effect of this surgery? | Hemorrhage |
| This is a type of oxygen that is diluted with water to keep the mucosa moist. | Humidified oxygen |
| What is the procedure where in fluid is drained form the pleural cavity known as? | Thoracentesis |
| Pressure on the vena cava from a tumor can lead to which complication of lung cancer? | Superior Vena Cava Syndrome |
| Facial edema, tightness of shirt, nosebleeds, peripheral edema, and dyspnea are signs of which cancerous complication? Are they early or late signs? | Superior Vena Cava Syndrome. Early signs |
| Mental status changes, cyanosis, hemorrhage, and hypotension are signs of which cancerous complication? Are they early or late signs? | Superior Vena Cava Syndrome. Late signs. |
| What should the nurse do if a client is experiencing SVC syndrome? | Notify the Provider |
| What should the nurse expect to be done for a client r/t tx, who is experiencing SVC syndrome? | Radiation and stent-placement |
| A pt has metastasized lung cancer to the BONE. What is the nurses primary concern? | Fractures. Ambulate carefully. |
| Changes in mentation, lethargy, bowel and bladder function is a sign of which sort of metastasis r/t lung cancer? | CNS metastasis |