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NUR203 / NUR 203 Exam 4 (Latest 2025 / 2026 Update) Pediatric Nursing | Questions and Verified Answers | Solved

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NUR203 / NUR 203 Exam 4 (Latest 2025 / 2026 Update) Pediatric Nursing | Questions and Verified Answers | Solved

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NUR203 / NUR 203 Exam 4 (Latest
Update) Pediatric Nursing | Questions and Verified
Answers | 100 out of 100 Accurate | Grade A - Fortis

Most primary lung tumors are believed to arise from ______. The _____ are caused by
carcinogens and influenced by various genetic factors

mutated epithelial cells




types of primary lung tumors include
non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC).




Metastasis occurs by direct extension and via the blood and lymph system. Common sites for
metastasis of lung cancer:

bone, liver, brain, lymph nodes, and adrenal glands.




causes of lung cancer include:

smoking, exposure to tobacco smoke (side-stream (second-hand) smoke), high levels of
pollution, radiation, asbestos, and prolonged exposure to industrial agents.




signs and symptoms of lung cancer are usually nonspecific and appear late in the disease and
include:
persistent cough with sputum is the most common 1st sign (hemoptysis is a late finding); labored
or painful breathing patterns; wheezing; chest pain; fatigue; weight loss; anorexia; dysphagia;
and nausea.

, NUR203 / NUR 203 Exam 4 (Latest
Update) Pediatric Nursing | Questions and Verified
Answers | 100 out of 100 Accurate | Grade A - Fortis
diagnostic studies for lung cancer

chest x-ray (initial); CT scan/bone scan; sputum specimens (can identify malignant cells, but
those cells are not always present in the sputum); thoracentesis; bronchoscopy; CT guided needle
aspiration (cells for biopsy); thoroscopy; MRI; and PET scan.




staging for non-small call lung cancer (SCLC can't be staged) is performed under the TNM
staging system for diagnosis and treatment evaluation. This means:

T: primary/tumor, N: regional lymph nodes, M: distant metastasis. Once the values for the T, N,
and M have been determined, they are combined to assign an overall stage




Treatment for lung cancer includes:

-chemotherapy

-radiation
-surgery




____ surgery option for lung cancer involves the removal of one entire lung.

pneumonectomy




_____ surgery option for lung cancer involves the removal of one or more lobes of the lung

lobectomy

, NUR203 / NUR 203 Exam 4 (Latest
Update) Pediatric Nursing | Questions and Verified
Answers | 100 out of 100 Accurate | Grade A - Fortis
Most head and neck cancers arise from squamous cells that line the mucosal surfaces of the head
and neck region. This includes cancers of the paranasal sinuses, oral cavity, nasopharynx,
oropharynx, and the larynx ("voice box"). Risk factors include:
most cases occur with prolonged use of tobacco and alcohol; asbestos; wood dust; radiation; air
pollution; diet poor in fruits and vegetables; and infection by human papillomavirus (HPV).




signs and symptoms of head and neck cancer

hoarseness; unilateral sore throat; mass or tumor location; lump in throat; cough; hemoptysis;
dyspnea; stridor; and weight loss.




diagnostic studies for head and neck cancer

visual inspection, indirect laryngoscopy, CT scan, MRI, PET scan, and tissue biopsy




_____ treatment for head and neck cancer can be used as a curative therapy or adjuvant therapy
before surgery. Stages I and II are potentially curable. It may eliminate the tumor while
preserving the voice.

radiation




_____ for head and neck cancer is never effective alone and may be used in combination with
radiation therapy for later stages.

chemotherapy

, NUR203 / NUR 203 Exam 4 (Latest
Update) Pediatric Nursing | Questions and Verified
Answers | 100 out of 100 Accurate | Grade A - Fortis
____ surgical therapy for head and neck cancers involves the removal of diseased area of the
vocal cord

simple excision




______ surgical therapy for head and neck cancers involves partial removal of one vocal cord

cordectomy




______ surgical therapy for head and neck cancer involves removing the entire larynx and pre-
epiglottic region

total laryngectomy




Total laryngectomy is the most common surgical method for tumors of the larynx and is required
for advanced stages. Following surgery, patients

require a permanent tracheostomy, experience a permanent loss of voice and smell, and after they
heal have no problems swallowing.




_____ surgical therapy for head and neck cancer is performed with a total laryngectomy to
remove metastatic cancer to adjacent areas of the neck or to decrease the risk of lymphatic spread

radical neck dissection




Following a total laryngectomy and a radial neck dissection keep the patient in the
semi-Fowler's position to decrease edema and pressure on sutures

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