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Lung Cancer care in nursing

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