stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
CA/chest trauma Flashcards | StudBud
Explore
/
CA/chest trauma
CA/chest trauma
60 terms
·
StudBud Administration
·
343 plays
Imported from external platform
Flashcards
60 cards
F
Practice quiz
P
Host live
L
Questions
60
Answers
1
Which statement is CORRECT about a tension pneumothorax?
Tracheal deviation is an early sign of a tension pneumothorax
opening to intrapleural =2-way valve inc pressure = mediastinum shift
tension pneumothorax is emergency and is treated w/ needle decompression
open pneumothorax is the only cause of a tension pneumothorax
2
The community RN is doing a health promotion at school & is discussing RF associated w/cancer. Further teaching needed?
Stress
Low-fat and high-fiber diets
Viral factors
Exposure to radiation
3
Which clinical manifestation would the nurse expect to find in newly diagnosed intrinsic LC?
Hoarseness
Foul smelling breath
Dysphagia
Weight loss
4
Tech is assisting client w/chest tube to ambulate to BR. Which situation needs immediate intervention from the nurse?
The tech has the chest tube attached to suction
The tech allowed the client out of the bed
The tech uses a bedside commode for the client
The client's chest tube is below the level of the chest
5
Antibiotics are the initial medical treatment of choice in viral upper respiratory tract infections and pneumonia.
True
False
6
Client in the ER w/chest trauma. When assessing the client, which S/S would RN expect diagnosis of pneumothorax?
Bronchovesicular lung sounds and bradypnea
Barrel chest and polycythemia
Unequal lung expansion and dyspnea
Frothy bloody sputum and consolidation
7
Which of the following is a LATE sign of the development of a tension pneumothorax?
Tachycardia
Dyspnea
Tracheal deviation
Hypotension
8
A centrally located tumor would produce which of the following symptoms?
Pleuritic pain
Hemoptysis
Coughing
Shoulder pain
9
Next nursing action?
Keep monitoring the patient because this is a normal finding.
Notify the physician
Increase wall suction to the system until the water fluctuates in the water
Assess patient's lung sounds to assess if the affected lung has re-expanded
10
If the client with lung cancer also has preexisting pulmonary disease, which of the following statements best describes
The entire tumor may not be able to be removed
It may require a whole lung to be removed.
It may prevent surgery if the client can’t tolerate lung tissue removal.
It doesn’t affect it.
11
Client w/carcinoma tells RN, "i am so tired of all this. I might as well just end it all." Which should be 1st response?
Find out if the client has a plan to carry out suicide.
Refer client to social worker.
Tell the HCP of the client's statement
"This must be hard for you. Would you like to talk?"
12
A patient is diagnosed with a tension pneumothorax. What should the nurse expect to assess in this patient?SATA
bradycardia
tracheal deviation toward unaffected side
absent breath sounds on the affected side
distended neck veins
hypertension
13
What should RN implement for client who has had a left-sided chest tube for 6hrs & refuses to take deep breaths d/t pain
Tell the client that if he doesn't take deep breaths, he could die
Encourage the client to take shallow breaths to help with the pain
Explain that deep breaths do not have to be taken at this time
Medicate the client and have the client take deep breaths
14
Which interventions would be most helpful in making respiratory effort of a client w/metastatic lung CA more efficient?
Administering cough suppressants as ordered
Placing the client in a low semi-Fowlers position
Teaching the client diaphragmatic breathing techniques
Teaching and encouraging pursed-lip breathing
15
The client is 4 hours post-lobectomy for lung cancer. Which assessment data warrant immediate intervention by the nurse?
Intake of 1500 mL IV and output of 1000 mL
450 mL of bright red drainage in the chest tube.
Complaining of pain at a 10 on a 1-10 scale
Absent lung sound o the side of surgery
16
Which of the following represents the most appropriate nursing intervention for a client with pruritis caused by cancer
Silk sheets
Steroids
Administration of antihistamines
Medicated cool baths
17
RN is taking the social history of a client diagnosed with SCLC. Which information is significant for this disease?
Has no family Hx of this type of lung cancer.
Has smoked 2 packs of cigarettes/day for 20 years.
Worked with asbestos for a short time many years ago
Has numerous tattoos on upper and lower arms.
18
The nurse is assessing a client who has a 35 pack-year history of cigarette smoking. In light of this known risk factor
I seem to get nearly every cold and flu that goes around my workplace.
Lately, I have this cough that just never seems to go away.
I find that I don't have nearly the stamina that I used to.
Never used to have allergies; I think I'm getting them to dust & pet hair
19
New hire asks occupational health RN about steps to prevent inhalation exposure to toxic substances. What should RN say?
Wear protective attire and devices when working with a toxic substance
Make sure your immunizations up to date to prevent resp diseases from toxin
Position a fan blowing toxic substances away from you
Always wear a disposable paper face mask when working with inhalable toxins
20
Almost all malignant tumors of the larynx arise from the surface epithelium & are classified as squamous cell carcinoma
True
False
21
RN is supervising student RN who is performing trach care. Which of the following actions should the RN intervene?
Removing the inner cannula and cleaning using universal precaution
Replacing the inner cannula and cleaning the site of the stoma
Suctioning the tracheostomy tube before performing tracheostomy care
Changing the old tracheotomy ties and securing the tube in place
22
What is fenestrated trach tube? SELECT ALL THAT APPLY
The cuff is Always deflated when the tube is capped
When the tube is capped, the client can breath through the upper airway and
The fenestrated tube has an opening along the posterior wall of the outer c
23
The client diagnosed with LC is being discharged. Which statement made by client indicates that more teaching is needed?
I should see the oncologist at my scheduled appt
If I begin to run a fever I should notify my HCP.
I should plan for periods of rest throughout the day
It doesn't matter if I smoke now. I already have cancer
24
A chest tube chamber falls on its side and cracks. What is your next PRIORITY?
Disconnect tubing & insert tubing 1 inch sterile water & get new system
Disconnect the drainage system and get a new one
Place the patient in supine position and clamp the tubing
Notify the physician immediately.
25
Water level in water seal chamber of chest drainage system reflects negative pressure present in intrathoracic cavity
True
False
26
A client has chemotherapy for lung CA, asks the RN how the chemo drugs work. Most accurate explaination:
The molecular structure of the DNA is altered
Chemotherapy affects all rapidly dividing cells
Chemotherapy encourages cancer cells to divide
Cancer cells are susceptible to drug toxins.
27
Patient has a chest tube for treatment of a pneumothorax in left lung. Which finding would require immediate action?
The water seal chamber fluctuates while the patient inhales and exhales
The patient complains of tenderness at the chest tube insertion site
The patient has slight tracheal deviation to the right side
The water seal chamber has intermittent bubbling
28
RN is discussing CA statistics w/group from the community. Which information about death rates from lung CA is accurate?
LC deaths have continued to increase in the male population
LC is the number 1 cause of cancer deaths in both men and women
LC deaths are not significant in relation to other cancers
LC is the number 2 cause of cancer deaths in both men and women.
29
The client with which of the following types of lung cancer has the best prognosis?
small cell
Squamous cell
Oat cell
Adenocarcinoma
30
Client had right-sided chest tube inserted 2hrs ago for pneumothorax. Which action should be taken if no fluctuation?
Check the tubing for kinks or clots
Obtain an order for a stat chest x-ray
Monitor the client's pulse oximeter reading
Increase the amount of wall suction
31
During assessment of a pt's resp status, RN notes paradoxical lung movements. This finding is consistent w/what problem?
flail chest
pleurisy
pneumothorax
pneumonia
32
Laryngeal cancer is
More common in women
Typically squamous cell carcinomas
Half of all head and neck cancers
common in 40-50 year olds
33
1. After pneumonectomy, patient should be turned hourly from back to operative side & not to unoperative side
True
False
34
In the client with terminal lung cancer, the focus of nursing care is on which of the following nursing interventions?
Prepare the client’s will
Provide emotional support
Provide pain control
Provide nutritional support
35
The nurse is presenting a class on chest tubes. Which statement describes a tension pneumothorax
develops when an air-filled bleb on the surface of the lung ruptures
the air moves freely between the pleural space and the atmosphere
injury allows air into the pleural space but prevents it from escaping
results from a puncture of the pleura during a central line placement
36
While changing ties on a tracheostomy tube, the client coughs and the tube is dislodged. Which is the initial RN action?
Call a respiratory therapist to reinsert the tracheotomy
Call the physician to reinsert the tracheotomy
Grasp the retention sutures to spread the opening
Cover the tracheostomy site with a sterile dressing
37
A pneumonectomy is a surgical procedure sometimes indicated for treatment of non-small-cell lung cancer. A pneumonectomy
A small, wedge-shaped lung surface
One or more segments of a lung lobe
An entire lung field
One lobe of a lung
38
Esophageal speech is the most widely used communication technique for patients who have undergone laryngectomy
False
True
39
What us this symptom?
Veisalgia
Subcutaneous emphysema
Pigment molle
Subcutaneous paresthesia
40
A patient has a chest tube inserted for a pneumothorax. What should the nurse expect when assessing the drainage system?
large amount of bloody drainage in the drainage collection chamber
vigorous bubbling in the suction control chamber
periodic bubbling in the water seal chamber immediately after insertion
no evidence of tidaling
41
Which action should RN implement for client w/hemothorax who has rt-sided chest tube & excessive bubbling in water-seal
Check the amount of wall suction being applied
Encourage the client to cough forcefully
Milk the tubing proximal to distal
Assess the tubing for any blood clots
42
Which factors are considered to be direct causes of lung cancer?
SELECT ALL THAT APPLY.
Smoking
Coal dust inhalation
High levels of pollution
Genetic mutations
43
A client has been diagnosed with lung cancer and requires a wedge resection. How much of the lung is removed?
A segment of the lung, including a bronchiole and its alveoli
A lobe of a lung
A small, localized area near the surface of the lung
One entire lung
44
Client has right-sided chest tube. As he is gets up it is accidentally pulled out of pleural space. Which action 1st?
Tape a petroleum jelly occlusive dressing on 3 sides to the insertion site
Take no action and assess the client's respiratory status every 15 minutes
Notify the health-care provider to have chest tubes reinserted STAT
Instruct the client to take slow shallow breaths until the tube is reinsert
45
In regards to pt in question above, which of the following options below is a nursing intervention you would provide:
Place a non-occlusive dressing over the chest wound
Prepare the patient for a thoracentesis
Place the patient in supine position
Place a sterile occlusive dressing over the chest wound and tape it on thre
46
Which of the following is the primary goal for surgical resection of lung cancer?
To remove as much as the tumor as possible, without removing any alveoli.
To remove the tumor and all surrounding tissue
To remove the tumor and as little surrounding tissue as possible.
To remove all of the tumor and any collapsed alveoli in the same region.
47
Risk factors for laryngeal cancer
Weakened immune system
Dietary factors
Tobacco (smokeless, vape, cigarettes)
Workplace toxins
48
RN writes 'impaired gas exchange' for client diagnosed w/lung CA Which interventions included for plan of care? SATA
Apply O2 via nasal cannula.
Listen to lung sounds every shift
Place the client in resp. isolation
Have the dietician plan for 6 small meals per day.
Assess vital signs for fever.
49
Adenocarcinoma is rarest carcinoma of lung; it occurs peripherally as peripheral masses or nodules & often metastasizes
False
True
50
Which of the following interventions is the key to increasing the survival rates of clients with lung cancer?
Early detection
Smoking cessation
High dose chemotherapy
Early bronchoscopy
51
Type of pneumothorax:
Spontaneous
Closed
Open
Tension
52
Client is admitted to outpt surgery center for bronchoscopy to rule out lung cancer. Which info should the nurse teach?
The HCP can do a biopsy of the tumor through the scope
There is no discomfort associated with this procedure
The client can eat and drink immediately after the test
The test will confirm the MRI results.
53
Adenocarcinoma, occurs peripherally as masses/nodules & often mets, is least prevalent carcinoma of lung in both M/F
True
False
54
Student RN is learning about pts w/thoracic surgery & diagnosis lung CA. Which indicates need for further education?SATA
patient's hob should be maintained between 15 & 30 degrees
I should assess the patient's respiratory system at least every four hours.
If item is needed often; keep them across room. Will help pt get better
Shouldn't offer narcotic pain meds to this pt it will cause resp depression
55
Client diagnosed w/lung CA has been told that CA metastasized to brain. Which intervention should the nurse implement?
Have the significant other make decisions for the client.
Discuss implementing an advance directive.
Teach the client to discontinue driving
Explain the use of chemotherapy for brain involvement.
56
When a client has a lobectomy, what fills the space where the lobe was?
The remaining lobe or lobes overexpand to fill the space.
The surgeon fills the space with gel
The space stays empty
The lung space fills up with serous fluid
57
A patient with a tracheostomy needs to be suctioned. What would you do first before suctioning the patient?
Disconnect pulse oximetry
Hyperoxygenate the patient before suctioning
Have the patient bear down
Assist the patient into Sim's position
58
Warning signs & symptoms of lung CA include persistent cough, bloody sputum, dyspnea, and which of the other following?
Recurrent Pleural Effusion
Generalized hypotension
Hypotension
Dizziness
59
Which assessment data indicate that the chest tubes have been effective in treating the client with a hemothorax who has
There is no fluctuation (tidaling) in the water-seal compartment
The client is able to deep breathe without any pain
There is 250 mL of blood in the drainage compartment
There is gentle bubbling in the suction compartment
60
RN is assessing pt recovering from MVA. Which assessment finding indicates that pt is experiencing a pneumothorax?
dullness to percussion at the base of the left lung
crackles throughout the left lung
shallow breathing
hyperresonance to percussion at the apex of the left lung
