Lung Cancer (Evolve Case Study)

question

what instructions need to be given to the pt that is about to have a chest X-Ray?
answer

removes any jewlery or necklaces
question

what is the nurse responsible for doing aftr the pt has a bronchoscopy?
answer

check for the return of the gag reflex
question

what puts a non smoker at risk for getting lung cancer?
answer

if both parents were smokers and died of lung cancer (SECOND HAND SMOKE!!!!)
question

what does staging of cancer tumors describe?
answer

helps determine the clinets prognosis and treatment
question

which venous site rudes the risk for extravasion?
answer

SUBCLAVIAN VEIN use of a large central vein, reduces the risk for extravation
question

the nurse checks the xray before giving chemo to make sure the tube is in the superior vena cave to prevent what?
answer

fluid infiltration!
question

once the doctor first orders fluids and meds and an Xray what should the RN do first?
answer

notify radiology of the chest x ray because the placement has to be confirmed before we can put in fluids or medications!
question

what does thrombocytopenia mean?
answer

low platelet count
question

what is the word for low WBC?
answer

leukopenia
question

what can neupogen (filgrastim)cause when given to chemo pts?
answer

BONE PAIN!!!!!!!!!!!!!!!!
question

why should vigerous cold packs not be used on chemo pts experiencing severe sepsis?
answer

the pts is at a severe risk for bleeding so vigerous rubbing could cause a bleed, the RN should be very gentle
question

a pt has a chest tube and the RN notices that the suction control chamber is bubbling continuously what is the best action for the RN to do?
answer

continue to monitor regularly, continuous bubbly says that the desired level of suction is correct to promote removal of air and fluid
question

the fluid level in the pts water seal chamber is fluctuating what does the RN need to do?
answer

observe the pts respirations because fluctutations should occur with the pts respirations, the absence of fluctuations may indicate the tubing is obstructed
question

is contant vigouros bubbling of a chest tube normal?
answer

no inspect for air leaks
question

what does the RN need to do if the fluctuation is the seal stops?
answer

ask the patient to turn change positions ans cough
question

in the hispanic culture how is the extended family viewed?
answer

is na important and valued source of support when family decisions must be made; also comfort iwth close proximity to others in the group is desired
question

what does justice deal with?
answer

fair and equal treatment (all pts families should get equal room in the waiting room)
question

when getting brain radiation therapy what should the RN’s intervention be?
answer

the pt will not get impaired skin integrity
question

what discharge teaching should be give to the client who had brain radiation treatment?
answer

gently wash area with soap and water and pat dry, do not put any lotions creams or other products unless proscibed by the MD, NO heating pads because heat further damages the skin, do not wash wash clothes in bleach, do not remove all the residual markings on the skin because those markings guide the treatment
question

what is hospice care?
answer

given to pts who have a limited life expectancy that only treats symptoms

Get instant access to
all materials

Become a Member