ONCOLOGY Lung Cancer Flashcards
The leading cause of cancer death worldwide is__-
lung cancer
T OR F? When you have stopped smoking for 15 years, the incidence of lung cancer is almost like that of a non-smoker
T!
s/s: Although the signs and symptoms of lung cancer (dyspnea and hemoptysis) are similar to TB, what’s the major difference?
TB has night sweats
After a bronchoscopy for a patient with lung cancer, what will their dietary status be?
Their dietary status will remain that way until what returns?
NPO
before gag reflex
Fresh from a bronchoscopy, why is it not a major red flag if the patient has no gag reflex?
Because the doctor numbs the back of their throat anyway so they won’t gag during the bronchoscopy.
After the bronchoscopy, what else should you watch out for beside the delayed gag reflex?
- respiratory depression (don’t be tricked by this)
what is subQ emphysema?
air in the subcutaneous tissue
when is the best time to obtain a sputum specimen?
is it a sterile specimen?
what should the patient do first before getting the sterile sputum specimen?
after the patient rinses their mouth out with water, what do you do next?
In the morning after these secretions have been accumulating all night long.
-yes; need sterile cup is needed. and don’t let the cup touch their lips.
when getting the sputum mouth care/ rinse mouth out with water. In order to decrease the bacteria count in the mouth. then, cough and deep breathe to get the sputum from the lungs.
You’re caring for a patient who has had a right sided lobectomy. You come in the room and find that the patient is lying on the right side. Why should you intervene?
this patient should be laying on the left side.
the SURGICAL SIDE should be up because we want what’s left of the lung to be able to expand and not get pneumonia.
*Good lung down*
What’s a pneumonectomy?
The entire lung is taken out… they only have 1 lung left.
You are caring for a patient that has had a pneumonectomy 2 weeks ago. How will you tell them to position themselves?
lay on the affected side. good lung up so it can expand better.
*GOOD LUNG UP for pneumectomy*
*GOOD LUNG DOWN for lobectomy*
the goal is lung expansion
T OR F? You can expect a patient who has had a pneumonectomy to have chest tubes.
F! NO lung, no chest tubes
After a lobectomy or pneumonectomy, why do you want to avoid placing the patient way up on their side/ severe lateral positioning?
it can cause a mediastinal shift. causing a deviated trachea
