HESI Case Study: Lung Cancer - Questions & Answers

HESI Case Study: Lung Cancer - Questions & Answers What important edu should the nurse provide to the client r/t this medication? - Take medication on an empty stomach - Do not take antacids while on this medication - the medication may cause some abd'l discomfort and diarrhea Mr. Stringfellow discusses w/ the nurse that he often prefers to choose herbs and supplements when he feels out of sorts Which herbal supplement does the nurse anticipate Mr. Stringfellow will use for his current symptoms Echinacea Despite the course of abx and other meds, Mr. Stringfellow never feels 100% better. He continues to work and interact w/ family and friends, but the cough persists. He assumes the sx's are r/t the chg in seasons. After 2 months, he decides to f/u w/ his HCP again. The HCP completes the exam and writes a prescription for lab work and a CXR While waiting to obtain the lab and XR, what info from the client's hx is priority for the nurse to collect? - Have you experienced any hoarseness? - Do you currently, or have you ever smoked? - Tell me about your work hx Which instructions should the nurse provide to prepare Mr. Stringfellow for the XRay? You will need to remove your clothes down to the waist and remove any jewelry on the neck or chest The CXR results show a suspicious spot on Mr. Stringfellow's left lung. The HCP talks w/ Mr. Stringfellow about the findings and suggests a CT scan and a fiberoptic bronchoscopy to rule out lung cancer. Both are scheduled for the next day Mr. Stringfellow states, "I have already had a chest X Ray. Why do I need a CT scan? What is the nurse's best response? "A CT scan can differentiate differences in tissue density" Which instructions should the nurse provide r/t the bronchoscopy? - You must not eat or drink anything for 6-8 hrs prior to the procedure - You will receive a medication to dry up secretions and another medication to make you sleepy - The oral and nasal pharynx will be sprayed w/ a local anesthetic What nsg action should the nurse expect to implement following the bronchoscopy Keep client NPO until the gag reflex returns Mr. Springfellow returns to the office in 2 days to learn the results of the bx. The HCP informs the client that he has non-small cell lung cancer (NSCLC). The nurse obtains a detailed hx from Mr. Stringfellow and enters the info in the clinic's electronic health record system. At his request, the nurse discusses the risk factors for lung cancer and answers his questions which info in Mr. Stringfellow's