Lung Cancer

Question 1

primary prevention

Answer 1

quit smoking, avoid exposure to smoke/chemicals

Question 2

secondary prevention

Answer 2

annual chest CT for high risk adults

Question 3

pack year history

Answer 3

packs smoked per day * number of years smoked

Question 4

risk factors

Answer 4

smoking, second/thirdhand smoke exposure, asbestos, air pollution

Question 5

s/s

Answer 5

cough, bloody/rusty sputum, pleuritic chest pain, weight loss, clubbing, dyspnea/wheezing, cyanosis

Question 6

how is lung cancer dx’d

Answer 6

chest x-ray, biopsy of tumor or fluid from thoracentesis to confirm

Question 7

first chamber of chest tube

Answer 7

collects drainage

Question 8

second chamber of chest tube

Answer 8

water seal
some bubbling & tidaling is normal, lot of bubbling is bad

Question 9

what does excess bubbling in 2nd chamber mean

Answer 9

air leak

Question 10

purpose of chest tube in upper lung

Answer 10

drain air

Question 11

purpose of chest tube in lower lung

Answer 11

drains fluid

Question 12

purpose of third chamber in chest tube

Answer 12

suction

Question 13

nursing interventions for chest tube

Answer 13

check qhour, assess site for leakage/drainage & puffiness, keep system below pt’s chest

Question 14

what to assess after chest tube removal

Answer 14

respiratory distress/failure - lung may collapse & they may need a new chest tube

Question 15

why give morphine to a lung cancer pt?

Answer 15

helps w pain & dyspnea - decreases respiratory drive & helps anxiety