The client with which of the following types of lung cancer has the best prognosis?
A
Adenocarcinoma
B
Oat cell
C
Squamous cell
D
Small cell C Squamous cell carcinoma is a slow-growing, rarely metastasizing type of cancer.
Adenocarcinoma is the next best lung cancer to have in terms of prognosis. Oat cell and small
cell carcinoma are the same. Small cell carcinoma grows rapidly and is quick to metastasize.
Warning signs and symptoms of lung cancer include persistent cough, bloody sputum, dyspnea,
and which of the other following symptoms?
A
Dizziness
B
Generalized weakness
C
Hypotension
D
Recurrent pleural effusion D Recurring episodes of pleural effusions can be caused by the
tumor and should be investigated. Dizziness, generalized weakness, and hypotension aren't
typically considered warning signals, but may occur in advanced stages of cancer.
, Which of the following interventions is the key to increasing the survival rates of clients with
lung cancer?
A
Early bronchoscopy
B
Early detection
C
High-dose chemotherapy
D
Smoking cessation B Early detection of cancer when the cells may be premalignant and
potentially curable would be most beneficial. However, a tumor must be 1 cm in diameter
before it's detectable on a chest x-ray, so this is difficult. A bronchoscopy may help identify cell
type but may not increase survival rate. High-dose chemotherapy has minimal effect on long-
term survival. Smoking cessation won't reverse the process but may help prevent further
decompensation.
A client has been diagnosed with lung cancer and requires a wedge resection. How much of the
lung is removed?
A One entire lung
B A lobe of the lung
C A small, localized area near the surface of the lung
D A segment of the lung, including a bronchiole and its alveoli C A small area of tissue close
to the surface of the lung is removed in a wedge resection. An entire lung is removed in a
pneumonectomy. A segment of the lung is removed in a segmental resection and a lobe is
removed in a lobectomy.
When a client has a lobectomy, what fills the space where the lobe was?
A The space stays empty.
B The surgeon fills the space with gel