Lung Cancer Evolve Case Study

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Lung Cancer Evolve Case Study Questions and Answers Latest Version Graded A+

A nurse is reviewing the chart of a client with suspected lung cancer. Which finding is most concerning?

• Coughing after meals
• Fatigue at bedtime

✔✔ C. Hemoptysis (coughing up blood)

• Mild chest congestion

A client undergoing a lung biopsy asks about the purpose of the procedure. What is the best response?✔✔ A. "It will help determine if the tissue is cancerous."

• "It helps clear out infected lung fluid."
• "It measures your lung capacity."
• "It is used to treat fluid in the lungs."

Which client is most at risk for developing lung cancer? 1 / 4

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✔✔ A. 64-year-old with a 40-year smoking history

• 30-year-old with seasonal allergies
• 48-year-old with hypertension
• 72-year-old with chronic sinusitis

A nurse assesses a client who reports weight loss, fatigue, and a persistent cough. What is the next best nursing action?

• Advise cough drops
• Provide fluids

✔✔ C. Notify the healthcare provider

• Schedule a flu shot

Which teaching point is most important for a client scheduled for a PET scan to diagnose lung cancer?

• Eat a light breakfast
• Wear metal-free clothing

✔✔ C. Avoid eating 6 hours before the test

• Take a diuretic before the scan 2 / 4

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A client receiving chemotherapy for lung cancer reports mouth sores and difficulty swallowing.What is the priority nursing action?✔✔ A. Assess oral mucosa and initiate soft diet

• Offer mints or hard candy
• Suggest hot tea
• Recommend dry crackers

What assessment finding would a nurse expect in a client with advanced lung cancer and pleural effusion?✔✔ A. Decreased breath sounds in one lung

• Loud bowel sounds
• Productive cough with thick green sputum
• Rapid capillary refill

A client with lung cancer develops SIADH. What symptom should the nurse monitor for?✔✔ A. Hyponatremia

• Hyperglycemia 3 / 4

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• Increased appetite
• Low urine osmolality

During a case study review, which lab value would most concern the nurse in a lung cancer client?✔✔ A. Serum sodium 122 mEq/L

• Hemoglobin 14 g/dL
• Potassium 4.1 mEq/L
• White blood cells 7,000/mm³

A nurse is teaching a client with lung cancer about radiation side effects. Which statement indicates understanding?✔✔ A. "I might feel very tired during treatment."

• "I won’t lose any hair."
• "I can expect immediate improvement."
• "I don’t need to report skin changes."

A client with stage IV lung cancer is considering hospice. What is the best nursing response?

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