The clinic nurse teaches a patient with a 42 pack-year history of ...

[Cooldude101]

The clinic nurse teaches a patient with a 42 pack-year history of cigarette smoking about lung disease. Which information will be most important for the nurse to include?
 
  a. Options for smoking cessation
  b. Reasons for annual sputum cytology testing
  c. Erlotinib (Tarceva) therapy to prevent tumor risk
  d. Computed tomography (CT) screening for lung cancer

Question 2

An occupational health nurse works at a manufacturing plant where there is potential exposure to inhaled dust. Which action, if recommended by the nurse, will be most helpful in reducing the incidence of lung disease?
 
  a. Treat workers with pulmonary fibrosis.
  b. Teach about symptoms of lung disease.
  c. Require the use of protective equipment.
  d. Monitor workers for coughing and wheezing.

[carolinefletcherr]

Answer to Question 1

ANS: A
Because smoking is the major cause of lung cancer, the most important role for the nurse is teaching patients about the benefits of and means of smoking cessation. CT scanning is currently being investigated as a screening test for high-risk patients. However, if there is a positive finding, the person already has lung cancer. Erlotinib may be used in patients who have lung cancer, but it is not used to reduce the risk of developing cancer.

Answer to Question 2

ANS: C
Prevention of lung disease requires the use of appropriate protective equipment such as masks. The other actions will help in recognition or early treatment of lung disease but will not be effective in prevention of lung damage. Repeated exposure eventually results in diffuse pulmonary fibrosis. Fibrosis is the result of tissue repair after inflammation.

[Cooldude101]

Excellent

[strudel15]

TYSM