Guaranteed Success
The staff on an oncology unit is interviewing applicants for a position as the unit manager.
Which type of organizational structure does this represent?
1. Centralized decision-making.
2. Decentralized decision-making.
3. Shared governance.
4. Pyramid with filtered-down decisions. 3
Shared governance is a system where the staff is empowered to make decisions such as
scheduling and hiring of certain staff. Staff members are encouraged to participate in
developing policies and procedures to reach set goals.
The client diagnosed with lung cancer is being discharged. Which statement made by the client
indicates that more teaching is needed?
1. "It doesn't matter if I smoke now. I already have cancer."
2. "I should see the oncologist at my scheduled appointment."
3. "If I begin to run a fever I should notify the HCP."
4. "I should plan for periods of rest throughout the day." 1
Research indicates that smoking will still interfere with the client's response to treatment.
The nurse working in an outpatient clinic is interviewing clients. Which information provided by
the client warrants further investigation?
1. The client uses Vicks VapoRub every night before bed.
2. The client has had an appendectomy.
3. The client takes a multiple vitamin pill every day.
4. The client has been coughing up blood in the mornings. 4
Coughing up blood could indicate a lung cancer and should be investigated.
, The client is four (4) hours post-lobectomy for cancer of the lung. Which assessment data
warrant immediate intervention by the nurse?
1. The client has an intake of 1500 mL IV and an output of 1000 mL.
2. The client has 450 mL of bright-red drainage in the chest tube.
3. The client is complaining of pain at a "10" on a 1-10 scale.
4. The client has absent lung sound on the side of the surgery. 2
This is about a pint of blood loss and could indicate the client is hemorrhaging.
The client is admitted to the outpatient surgery center for a bronchoscopy to rule out cancer of
the lung. Which information should the nurse teach?
1. The test will confirm the MRI results.
2. The client can eat and drink immediately after the test.
3. The HCP can do a biopsy of the tumor through the scope.
4. There is no discomfort associated with this procedure. 3
The HCP can take biopsies and wash of the lung tissue for pathological diagnosis during the
procedure.
The client diagnosed with oat cell carcinoma of the lung tells the nurse, "I am so tired of all this.
I might as well just end it all." Which should be the nurse's first response?
1. Respond by saying, "This must be hard for you. Would you like to talk?"
2. Tell the HCP of the client's statement.
3. Refer the client to a social worker or spiritual advisor.
4. Find out if the client has a plan to carry out suicide. 4
The priority action any time a client makes a statement regarding taking his or her own life is to
determine if the client has thought it through enough to have a plan. A plan indicates an
emergency situation
The nurse is taking the social history from a client diagnosed with small cell carcinoma of the
lung. Which information is significant for this disease?