Lung Cancer HESI Case Study Questions with Correct Answers 100% Verified|
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What instructions should the nurse provide to Mr. Stringfellow for the x-ray? "You will need
to remove your clothes down to the waist and remove any jewelry on the neck or chest."
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 related to the bronchoscopy? (Select all that
apply.) "You must not eat or drink anything for 6 to 8 hour 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 with a local anesthetic."
What nursing action should the nurse expect to implement following the bronchoscopy?
Keep client NPO until the gag reflex returns.
What information in Mr. Stringfellow's history places him at risk for lung cancer? (Select all that
apply.) Both of Mr. Stringfellow's parents were cigarette smokers.
Twenty years of employment in a manufacturing plant.
What response by the nurse is most therapeutic? Sit quietly with Mr. Stringfellow and allow
him the opportunity to talk.
How would the nurse explain the purpose of cancer staging? Staging helps determine the
client's prognosis and best treatment.
, Mr. Stringfellow asks the nurse why two cancer medications are needed. What is the nurse's
best explanation? "These two medications work during different phases of the cell cycle to
increase the effectiveness of the therapy."
The use of which venous access site reduces the risk for extravasation during chemotherapy
treatments? Subclavian vein
What is the priority action for the nurse? Assess breath sounds.
After the assessment of breath sounds, which action should the nurse take next? Notify
radiology of the need for an x-ray.
The nurse obtains these x-ray results before initiating fluids to prevent which complication?
Fluid infiltration
The nurse certified in chemotherapy administration prepares to administer carboplatin
(Paraplatin) 360 mg/m2 in 150 mL of normal saline (NS) via IV pump. The drug is prescribed to
run over 30 minutes. At what rate should the nurse set the IV pump? (Enter numeric value only.
If rounding is necessary, round to the whole number.) 300
The nurse identifies a potential nursing diagnosis of imbalanced nutrition: less than body
requirements. Which meal recommendation is appropriate? Broiled chicken, greens, and
cheese bread.
Mr. Stringfellow asks about common side effects of carboplatin (Paraplatin). Which common
side effects should the nurse discuss with the client? (Select all that apply.) Loss of taste
Ringing in ears
Nausea and vomiting
The nurse recognizes that Mr. Stringfellow is experiencing which conditions? (Select all that
apply.) Leukopenia
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What instructions should the nurse provide to Mr. Stringfellow for the x-ray? "You will need
to remove your clothes down to the waist and remove any jewelry on the neck or chest."
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 related to the bronchoscopy? (Select all that
apply.) "You must not eat or drink anything for 6 to 8 hour 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 with a local anesthetic."
What nursing action should the nurse expect to implement following the bronchoscopy?
Keep client NPO until the gag reflex returns.
What information in Mr. Stringfellow's history places him at risk for lung cancer? (Select all that
apply.) Both of Mr. Stringfellow's parents were cigarette smokers.
Twenty years of employment in a manufacturing plant.
What response by the nurse is most therapeutic? Sit quietly with Mr. Stringfellow and allow
him the opportunity to talk.
How would the nurse explain the purpose of cancer staging? Staging helps determine the
client's prognosis and best treatment.
, Mr. Stringfellow asks the nurse why two cancer medications are needed. What is the nurse's
best explanation? "These two medications work during different phases of the cell cycle to
increase the effectiveness of the therapy."
The use of which venous access site reduces the risk for extravasation during chemotherapy
treatments? Subclavian vein
What is the priority action for the nurse? Assess breath sounds.
After the assessment of breath sounds, which action should the nurse take next? Notify
radiology of the need for an x-ray.
The nurse obtains these x-ray results before initiating fluids to prevent which complication?
Fluid infiltration
The nurse certified in chemotherapy administration prepares to administer carboplatin
(Paraplatin) 360 mg/m2 in 150 mL of normal saline (NS) via IV pump. The drug is prescribed to
run over 30 minutes. At what rate should the nurse set the IV pump? (Enter numeric value only.
If rounding is necessary, round to the whole number.) 300
The nurse identifies a potential nursing diagnosis of imbalanced nutrition: less than body
requirements. Which meal recommendation is appropriate? Broiled chicken, greens, and
cheese bread.
Mr. Stringfellow asks about common side effects of carboplatin (Paraplatin). Which common
side effects should the nurse discuss with the client? (Select all that apply.) Loss of taste
Ringing in ears
Nausea and vomiting
The nurse recognizes that Mr. Stringfellow is experiencing which conditions? (Select all that
apply.) Leukopenia
