NU 629 Final Exam questions with correct answers

Lung Cancer correct answer -Asymptomatic adults aged 55-80 years who have a 30-pack year smoking history and currently smoking or have quit smoking within the past 15 years -The appropriate screening for lung cancer is with low-dose computer tomography (LDCT) -Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or ability to have curative lung surgery -Age, total exposure to tobacco smoke, and years since quitting smoking are important risk factors for lung cancer and are used to determine eligibility for screening -Surgical resection is the current standard for localized NSCLC. This cancer is treated with surgical resection and with radiation and chemotherapy. prostate cancer correct answer -Men 55-69 years PSA based screening is individual decision -Do not screen for prostate cancer for men 70 years old and older -Risk factors for prostate cancer include older age, African American race, family history or prostate cancer -Screening tools are PSA (prostate-specific antigen) and if elevated and patient experiencing symptoms patient may undergo a transrectal ultrasound guided core-needle biopsy of prostate to diagnose prostate cancer -Treatment options are removal of the prostate, radiation therapy, and active surveillance Adult Immunizations correct answer -Adults that are at risk for heart disease or stroke should receive influenza vaccine, Tdap vaccine, pneumococcal vaccine, zoster vaccine. Strongly recommend vaccines that patient need for their specific conditions. -Healthcare providers should share risk, answer questions and vaccine safety concerns as well as be cognizant of precautions and contraindications for vaccine reactions -Vaccine storage and handling plays a role in the management of protecting individuals and communities from vaccine-preventable diseases. -All health care personnel who administer vaccines should receive competency on vaccine administration policies and procedures before administering vaccines. Review immunization history assess need for immunization, screen for contraindications, educate, prepare vaccine, administer vaccine, document vaccine.