A nurse is providing discharge instructions to a client who has undergone lung cancer surgery. The client will be using a chest tube drainage system at home. What key information should the nurse include in the client's education?

"You can remove the chest tube at home once the drainage stops completely."

"Avoid taking deep breaths or coughing to prevent dislodging the chest tube."

"Report any sudden increase in chest tube drainage or signs of infection to your healthcare provider."

"You can shower with the chest tube in place as long as you cover it with plastic wrap."

Answer and Explanation

The Correct Answer is C

A) Incorrect. The chest tube should only be removed by a healthcare provider, and drainage cessation is not the sole indicator for removal.

B) Incorrect. Encouraging deep breathing and coughing exercises is essential to prevent complications such as pneumonia.

C) Correct. Monitoring and reporting changes in drainage or signs of infection are critical for early detection of complications.

D) Incorrect. It is not advisable to shower with the chest tube in place, as moisture can affect the integrity of the dressing and tubing connections.

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Correct Answer is C

Explanation

A) Incorrect. Smoking is strongly associated with the development of lung cancer.

B) Incorrect. Both heavy and light smokers are at an increased risk of developing lung cancer.

C) Correct. Smoking is the primary cause of lung cancer, accounting for the majority of cases.

D) Incorrect. Passive smoking or exposure to secondhand smoke can increase the risk of lung cancer in non-smokers.

A. "Radiation therapy always causes immediate and severe side effects." B. "Radiation therapy only affects the area where the tumor is located." C. "Radiation therapy cannot be used in combination with chemotherapy." D. "Radiation therapy may cause both immediate and delayed side effects."

Correct Answer is D

Explanation

A) Incorrect. Radiation therapy side effects can vary in severity and may not always be immediate or severe.

B) Incorrect. While radiation therapy is targeted to the tumor site, it can affect surrounding tissues and organs.

C) Incorrect. Radiation therapy can be used in combination with chemotherapy, depending on the treatment plan.

D) Correct. Radiation therapy can cause both immediate side effects (such as fatigue and skin changes) and delayed side effects (such as lung inflammation).

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A nurse is providing discharge instructions to a client who has undergone lung cancer surgery. The client will be using a chest tube drainage system at home. What key information should the nurse include in the client's education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse about the relationship between smoking and the risk of developing lung cancer. What response by the nurse is accurate?

Correct Answer is C

Explanation

A client with lung cancer is receiving radiation therapy as part of their treatment plan. The nurse is explaining potential side effects of radiation to the client. Which statement by the nurse is accurate regarding radiation therapy for lung cancer?

Correct Answer is D

Explanation

A client is undergoing a bronchoscopy as part of the diagnostic evaluation for lung cancer. The nurse should provide pre-procedure education, including information about the need for:

A nurse is providing education to a client recently diagnosed with lung cancer. The client asks the nurse about strategies to cope with anxiety and fear related to their diagnosis. What is the nurse's most appropriate response?

A client wants to know about the signs and symptoms of lung cancer. What should the nurse include in the response?

A nurse is discussing the risk factors for lung cancer with a client. Which risk factor is most strongly associated with the development of the disease?

A nurse is assessing a client with lung cancer. The client reports experiencing hoarseness and difficulty swallowing. What should the nurse suspect as a possible cause of these symptoms related to lung cancer?

A client receiving radiation therapy for lung cancer reports experiencing fatigue and skin changes in the treatment area. What advice should the nurse provide to manage these side effects?

A nurse is discussing lung cancer classifications with a client. The client asks about the characteristics of adenocarcinoma. How should the nurse describe this type of lung cancer?

A client with a history of smoking presents to the clinic with persistent cough, chest pain, and shortness of breath. The nurse recognizes these symptoms as potential indicators of lung cancer. Which additional symptom is commonly associated with lung cancer?