The nurse knows the mortality rate is high in lung cancer clients due to which factor?

Increased exposure to industrial pollutants

Increase in women smokers

Few early symptoms

Increased incidence among the elderly

Answer and Explanation

The Correct Answer is C

A. Increased exposure to industrial pollutants: While environmental factors like industrial pollutants increase the risk of developing lung cancer, they do not directly explain the high mortality rate. Early detection plays a larger role in outcomes.
B. Increase in women smokers: Though smoking among women contributes to rising lung cancer rates, it does not explain why the disease is so deadly. Mortality is more closely tied to late-stage diagnosis.
C. Few early symptoms: Lung cancer often progresses silently with vague or absent symptoms until it reaches an advanced stage. This delay in detection reduces the effectiveness of treatment and contributes significantly to high mortality.
D. Increased incidence among the elderly: Older adults are more likely to develop cancer due to age-related factors, but mortality rates remain high primarily because lung cancer is typically diagnosed late, not just because of age.

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Correct Answer is A

Explanation

A. "Life is challenging. I take it as it comes.": This statement reflects psychological hardiness — a resilience trait marked by commitment, control, and seeing stress as a challenge rather than a threat. It shows adaptive coping and a proactive mindset in facing life’s difficulties.
B. "I am making it through and just barely holding on.": This response indicates high stress and limited coping capacity. It suggests the person is overwhelmed, which is inconsistent with hardiness, which involves confidence in managing stress.
C. "I am not able to juggle all of the balls of life.": This reflects perceived helplessness and difficulty managing life's demands. It lacks the sense of control and adaptability associated with a hardy personality.
D. "What can you do, it is what it is.": While this may seem like acceptance, it reflects resignation more than resilience. A hardy individual typically views stressors as manageable and worth engaging with, not passively accepted.

A. Avoid crossing the legs. B. Massage the calves and thigh. C. Prop pillows under knees. D. Encourage ambulation twice daily.

Correct Answer is A

Explanation

A. Avoid crossing the legs: Crossing the legs can impede venous return by compressing the veins in the leg therefore increasing the risk of clot formation in the lower extremities. Teaching clients to keep legs uncrossed helps maintain proper circulation and reduces venous stasis postoperatively.
B. Massage the calves and thigh: Massaging the legs can dislodge an existing thrombus, leading to a potential pulmonary embolism. This practice is contraindicated in clients at risk for deep vein thrombosis (DVT).
C. Prop pillows under knees: Placing pillows under the knees promotes venous stasis by compressing the popliteal vein. This can increase the risk of thrombophlebitis and should be avoided in post-op care.
D. Encourage ambulation twice daily: Although ambulation is beneficial, twice daily may not be frequent enough to adequately promote circulation. More regular movement and leg exercises are typically recommended to prevent clot formation.

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The nurse knows the mortality rate is high in lung cancer clients due to which factor?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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The nurse knows the mortality rate is high in lung cancer clients due to which factor?