Which ectopic hormone is involved in Cushing syndrome and may cause small cell
lung cancer?
A. Antidiuretic hormone
B. Parathyroid hormone
C. Follicle-stimulating hormone
D. Adrenocorticotropic hormone
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ANS: D
Overproduction of ectopic adrenocorticotropic hormone causes Cushing
syndrome, which may lead to small cell lung cancer. An abnormal
production of antidiuretic hormone causes syndrome of inappropriate
antidiuretic hormone (SIADH). An abnormal production of parathyroid
hormone causes hypercalcemia. Abnormal production of follicle-
stimulating hormone causes gynecomastia.
,What is a possible reason for the development of bronchopleural fistula in a patient
with lung cancer?
A.) Drug therapy
B.) Thoracentesis
C.) Pneumonectomy
D.) Radiation therapy
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ANS: C
Pneumonectomy is a surgical procedure that involves removal of a lung,
which may create complications such as bronchopleural fistula. Drug
therapy, thoracentesis, and radiation therapy are unassociated with
development of bronchopleural fistula.
5. A nurse assesses a client who has a chest tube. For which manifestations should the
nurse immediately intervene? (Select all that apply.)
a. Production of pink sputum
b. Tracheal deviation
c. Sudden onset of shortness of breath
d. Pain at insertion site
e. Drainage of 75 mL/hr
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ANS: B, C
Tracheal deviation and sudden onset of shortness of breath are
manifestations of a tension pneumothorax. The nurse must intervene
immediately for this emergency situation. Pink sputum is associated with
pulmonary edema and is not a complication of a chest tube. Pain at the
insertion site and drainage of 75 mL/hr are normal findings with a chest
tube.
, A patient has just been admitted to the intensive care unit (ICU) after having a left
lower lobectomy with a video-assisted thoracoscopic surgery (VATS). Which of these
requests should the nurse implement first?
A. Adjust oxygen flow rate to keep O 2 saturation at 93% to 100%.
B. Administer 2 g of cephalothin IV now.
C. Give morphine sulfate 4 to 6 mg IV for pain.
D. Infuse 1 unit of packed red blood cells (PRBCs) over the next 2 hours.
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ANS: A
Airway and oxygenation are main priorities in the immediate postoperative
period. The patient will likely be intubated, so coordination of care with
respiratory therapy will be important. Although antibiotic therapy may be
ordered, this is not a priority at this time. Pain management in the
postoperative period is important; a minimally invasive technique will be
less painful than an open technique, but it is still painful. Pain management
is not the first priority, however. Packed red blood cells may or may not
need to be infused to maintain the oxygen-carrying capacity of the blood.
Less blood is lost during minimally invasive techniques than during open
surgical procedures.
Which condition presents symptoms of hoarseness, change in respiratory pattern,
persistent cough, blood-streaked sputum, dyspnea, clubbing of the fingers, and
fever?
A. Asthma
B. Lung cancer
C. Cystic fibrosis
D. Pulmonary arterial hypertension
Give this one a try later!
lung cancer?
A. Antidiuretic hormone
B. Parathyroid hormone
C. Follicle-stimulating hormone
D. Adrenocorticotropic hormone
Give this one a try later!
ANS: D
Overproduction of ectopic adrenocorticotropic hormone causes Cushing
syndrome, which may lead to small cell lung cancer. An abnormal
production of antidiuretic hormone causes syndrome of inappropriate
antidiuretic hormone (SIADH). An abnormal production of parathyroid
hormone causes hypercalcemia. Abnormal production of follicle-
stimulating hormone causes gynecomastia.
,What is a possible reason for the development of bronchopleural fistula in a patient
with lung cancer?
A.) Drug therapy
B.) Thoracentesis
C.) Pneumonectomy
D.) Radiation therapy
Give this one a try later!
ANS: C
Pneumonectomy is a surgical procedure that involves removal of a lung,
which may create complications such as bronchopleural fistula. Drug
therapy, thoracentesis, and radiation therapy are unassociated with
development of bronchopleural fistula.
5. A nurse assesses a client who has a chest tube. For which manifestations should the
nurse immediately intervene? (Select all that apply.)
a. Production of pink sputum
b. Tracheal deviation
c. Sudden onset of shortness of breath
d. Pain at insertion site
e. Drainage of 75 mL/hr
Give this one a try later!
ANS: B, C
Tracheal deviation and sudden onset of shortness of breath are
manifestations of a tension pneumothorax. The nurse must intervene
immediately for this emergency situation. Pink sputum is associated with
pulmonary edema and is not a complication of a chest tube. Pain at the
insertion site and drainage of 75 mL/hr are normal findings with a chest
tube.
, A patient has just been admitted to the intensive care unit (ICU) after having a left
lower lobectomy with a video-assisted thoracoscopic surgery (VATS). Which of these
requests should the nurse implement first?
A. Adjust oxygen flow rate to keep O 2 saturation at 93% to 100%.
B. Administer 2 g of cephalothin IV now.
C. Give morphine sulfate 4 to 6 mg IV for pain.
D. Infuse 1 unit of packed red blood cells (PRBCs) over the next 2 hours.
Give this one a try later!
ANS: A
Airway and oxygenation are main priorities in the immediate postoperative
period. The patient will likely be intubated, so coordination of care with
respiratory therapy will be important. Although antibiotic therapy may be
ordered, this is not a priority at this time. Pain management in the
postoperative period is important; a minimally invasive technique will be
less painful than an open technique, but it is still painful. Pain management
is not the first priority, however. Packed red blood cells may or may not
need to be infused to maintain the oxygen-carrying capacity of the blood.
Less blood is lost during minimally invasive techniques than during open
surgical procedures.
Which condition presents symptoms of hoarseness, change in respiratory pattern,
persistent cough, blood-streaked sputum, dyspnea, clubbing of the fingers, and
fever?
A. Asthma
B. Lung cancer
C. Cystic fibrosis
D. Pulmonary arterial hypertension
Give this one a try later!
