The nurse is assessing a patient who has a 35 pack-year history of cigarette smoking. In light of this known risk factor for lung cancer, what statement should prompt the nurse to refer the patient for further assessment?
A) "Lately, I have this cough that just never seems to go away."
B) "I find that I don't have nearly the stamina that I used to."
C) "I seem to get nearly every cold and flu that goes around my workplace."
D) "I never used to have any allergies, but now I think I'm developing allergies to dust and pet hair."
Ans: A
Feedback:
The most frequent symptom of lung cancer is cough or change in a chronic cough. People frequently ignore this symptom and attribute it to smoking or a respiratory infection. A new onset of allergies, frequent respiratory infections and fatigue are not characteristic early signs of lung cancer.
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