Lung Cancer

Question 1

10% of the time, patient’s find that they have lung cancer by checking for pneumonia on a

Answer 1

chest x ray

Question 2

Lung cancer is clinically __ for the majority of its course

Answer 2

silent

Question 3

Lung cancer is often masked in patients who are smokers because…

Answer 3

they already have an underlying cough

Question 4

Symptoms for lung cancer are nonspecific and are…

Answer 4

late in the disease

Question 5

What is the most common symptom of lung cancer?

Answer 5

Persistent productive cough

Question 6

What does the provider look for on a chest x ray for a patient with lung cancer?

Answer 6

A mass or infiltrate

Question 7

A mass on a chest x ray is sometimes referred to as __.

Answer 7

consolidation

Question 8

Infiltrate on a chest x ray looks like __ where it should be clear.

Answer 8

haziness

Question 9

A CT scan or MRI can be used to check for __.

Answer 9

metastasis

Question 10

A sputum for cytology is looking for what?

Answer 10

Cancer cells in the sputum

Question 11

Only 20-30% of sputum for cytology specimens are __.

Answer 11

positive

Question 12

Definitive diagnostic test for lung cancer

Answer 12

Biopsy

Question 13

List three ways a patient will have a lung biopsy

Answer 13

1) percutaneous fine needle biopsy
2) bronchoscopy
3) video-assisted thoracoscopy (VAT)

Question 14

A video-assisted thoracoscopy is done where?

Answer 14

In the OR or an endoscopy suite

Question 15

How is tissue removed from the lung in a video-assisted thoracoscopy?

Answer 15

Through the thorax by way of scope

Question 16

A bronchoscopy device enters the body through the…

Answer 16

mouth

Question 17

Six nursing problems for a patient with lung cancer

Answer 17

Ineffective airway clearance 
Ineffective breathing pattern
Anxiety
Poor nutrition status
Fatigue
Knowledge deficit

Question 18

Health promotion for lung cancer =

Answer 18

Smoking cessation

Question 19

Oncology patients often have anxiety. It is good to establish __ with the patient as collaborative care.

Answer 19

report

Question 20

Medical name for removal of entire lung

Answer 20

pneumonectomy

Question 21

-ectomy means

Answer 21

removal of

Question 22

Lobectomy means

Answer 22

lobe removed from lung

Question 23

3 surgical interventions for patients with lung cancer

Answer 23

Pneumonectomy, lobectomy, wedge or segmental resection

Question 24

Very often, patients with lung cancer undergo __ and/or __

Answer 24

chemotherapy and/or radiation therapy

Question 25

If you hear sounds over the removed lung when auscultating those sounds are called

Answer 25

deferred sounds