Cancer Treatment and Patient Emotions

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Questions and Answers

Which of the following populations is most at risk for TB infection?

Outdoor athletes

Suburban families

Wealthy individuals

Homeless individuals (correct)

What is the primary cause of Tuberculosis (TB)?

Mycobacterium tuberculosis (correct)

Escherichia coli

Streptococcus pneumoniae

Staphylococcus aureus

How is TB primarily transmitted?

Direct contact with infected individuals

Touching infected surfaces

Airborne droplets (correct)

Contaminated food

What is a hallmark of primary TB infection?

Ghon lesion or focus Signup and view all the answers

Which factor does NOT influence the transmission of TB?

Presence of a cough Signup and view all the answers

Which condition is a leading cause of mortality related to TB?

HIV/AIDS Signup and view all the answers

What happens to TB organisms once they are inhaled?

They lodge in bronchioles and alveoli Signup and view all the answers

What does MDR-TB stand for?

Multidrug-resistant Tuberculosis Signup and view all the answers

What component is responsible for controlling suction pressure in a water suction unit?

Suction control chamber Signup and view all the answers

What happens to the suction control chamber when suction stops suddenly?

It should be checked for occlusion. Signup and view all the answers

In a dry suction unit, how is the wall suction controlled?

By using a regulator control dial Signup and view all the answers

What is the usual suction order measured in centimeters of water for proper suction functionality?

−20 cm H2O Signup and view all the answers

What must be done to the suction control chamber to ensure effective suction during exhalation or coughing?

Dial up higher than prescribed suction Signup and view all the answers

What feature indicates the effective functioning of the suction in a water suction unit?

Gentle bubbling in the third chamber Signup and view all the answers

Which of the following describes a requirement for the connection of a suction control chamber?

It requires a connection to a wall suction source. Signup and view all the answers

What effect does the suction control chamber have as lung pressure decreases?

It expands to accommodate pressure changes. Signup and view all the answers

What is the primary purpose of the BCG vaccine?

Prevent the development of active TB disease Signup and view all the answers

Which drug is known to cause peripheral neuropathy during TB treatment?

Isoniazid Signup and view all the answers

What is a key intervention for preventing atelectasis in at-risk patients?

Deep breathing exercises Signup and view all the answers

What diagnostic test is primarily used to confirm a lung abscess?

Chest x-ray Signup and view all the answers

What major side effect is associated with the use of rifampin?

Non-viral hepatitis Signup and view all the answers

Which of the following is NOT a characteristic of restrictive respiratory disorders?

Airway obstruction Signup and view all the answers

What is the typical length of the initial phase of TB treatment?

3 months Signup and view all the answers

Which of the following is a sign of lung abscess development?

Foul-smelling sputum Signup and view all the answers

Which intervention is part of directly observed therapy (DOT) for TB treatment?

Public health nursing follow-up Signup and view all the answers

During TB treatment, what critical factor should patients be educated about in relation to their medication regimen?

Adherence is vital to prevent drug resistance Signup and view all the answers

In lung abscess patients, what follow-up diagnostics are recommended after antibiotic therapy?

Sputum cultures Signup and view all the answers

What is the main risk factor associated with the development of atelectasis?

Prolonged bed rest Signup and view all the answers

Which of the following best describes the mechanism of empyema?

Accumulation of pus in the pleural space Signup and view all the answers

What does the presence of two consecutive negative cultures indicate in a TB patient?

Patient can go home without isolation Signup and view all the answers

Which treatment option is specifically used to dissolve fibrous adhesions in the pleural space?

Intrapleural fibrinolytic therapy Signup and view all the answers

What is a common complication associated with fractured ribs?

Atelectasis Signup and view all the answers

In flail chest, what is the characteristic movement of the flail segment during breathing?

Moves outward during inspiration and inward during expiration Signup and view all the answers

What diagnostic study is commonly used to confirm pneumothorax?

Chest x-ray Signup and view all the answers

Which type of pneumothorax occurs without an external wound?

Closed pneumothorax Signup and view all the answers

What is a major risk factor for developing a spontaneous pneumothorax?

Tall, thin male Signup and view all the answers

Which option describes the best emergency treatment for an open pneumothorax?

Occlusive dressing secured on three sides Signup and view all the answers

What happens during tension pneumothorax?

There is reduced venous return to the heart Signup and view all the answers

Which manifestation is likely seen in a large pneumothorax?

Low oxygen saturation Signup and view all the answers

What should not be recommended for fractured rib management?

Thoracic binder taping Signup and view all the answers

Which of the following describes “flail chest”?

Three or more consecutive rib fractures in two places Signup and view all the answers

What is the primary goal of treatment for a pneumothorax?

Restore lung volume Signup and view all the answers

Which procedure is indicated for a severe hemothorax?

Chest tube drainage Signup and view all the answers

What is a common reason for using nerve blocks in fractured rib treatment?

To reduce pain Signup and view all the answers

What is a common psychological response of patients diagnosed with cancer?

Fear and guilt regarding the illness Signup and view all the answers

What should a nurse prioritize when responding to a patient's fear of cancer?

Validating the patient's feelings and asking open-ended questions Signup and view all the answers

In nonresectable lung cancer, what is a potential treatment option?

Radiation therapy as adjuvant therapy Signup and view all the answers

What is the role of the nurse in addressing a patient's feelings of guilt about cancer?

Facilitating a conversation about the patient's feelings and fears Signup and view all the answers

What is a significant emotional challenge for patients facing a cancer diagnosis?

Guilt associated with lifestyle choices that could have contributed to cancer Signup and view all the answers

What type of lung cancer is mentioned as having limited treatment options?

Small cell lung cancer (SCLC) Signup and view all the answers

What is an appropriate response to a patient expressing fear of cancer?

To acknowledge their fear and explore their feelings Signup and view all the answers

How can healthcare professionals improve the emotional support for cancer patients?

Offering resources and referrals for mental health support Signup and view all the answers

Study Notes

Cancer: A Study of Survival Rate & Emotional Response

Non-resectable mediastinal tumors can be treated with radiation therapy, which may improve survival rates for patients with Small Cell Lung Cancer (SCLC).
Radiation therapy is also an option in adjuvant therapy following surgery for patients with limited stage SCLC.
Radiation therapy can help treat bronchial lesions.

Emotional Response to Cancer

Patients diagnosed with cancer may experience a wide range of emotions, including fear, sadness, guilt, and anxiety.
The nurse can help patients cope with their emotions by providing support, encouragement, and understanding.
The nurse should encourage patients to express their feelings and concerns openly and honestly.
It's important for the nurse to maintain a realistic attitude about the patient's prognosis and treatment options.

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Description

This quiz explores the survival rates associated with radiation therapy for Small Cell Lung Cancer (SCLC) and discusses the emotional responses patients may experience following a cancer diagnosis. It highlights the role of nurses in supporting patients through their feelings and the importance of realistic discussions about prognosis.