NSG210 Week 09 Summary: Alterations in Protection

Week 09 (October 19-23, 2026): Oct 21 lecture on Alterations in Protection (oncology, lung cancer and chest tubes, lymphoma, disaster and end-of-life care). Clinical Oct 22 and Oct 23. Death and Dying Communication Workshop, evening group, Oct 22, 5:30 to 10:30 pm. All Week 09 content is on Exam 3.

Chapter numbering: the syllabus lists Hinkle 12, 19, 30, 69 (some in older or newer edition numbers). In the 15th edition, disaster nursing is Ch. 68 (see nsg210-textbook-chapter-crosswalk).

Lecture Notes

Lecture	Deck (`raw/`)	Notes
Cancer: benign vs malignant, prevention, screening, staging, tumor markers, surgery, radiation, chemotherapy, toxicities, pain, hospice	`nsg210_wk09_CANCER.pptx` (41 slides)	nsg210-week-09-cancer-lecture
Lung cancer: types, paraneoplastic syndromes, diagnosis, surgery, postop care, chest drainage, home teaching	`nsg210_wk09_LungCancer.ppt` (20 slides)	nsg210-week-09-lung-cancer-lecture
Chest tubes: tube size and placement, wet vs dry suction	`nsg210_wk09_ChestTubes.pptx` (2 slides)	nsg210-week-09-chest-tubes-lecture
Non-Hodgkin lymphoma: risk, B symptoms, diagnosis, treatment, survivorship	`nsg210_wk09_nonHodgkinLymphoma.pptx` (8 slides)	nsg210-week-09-non-hodgkin-lymphoma-lecture

Case Study

Chapter Outlines and Quizzes

Hinkle 15e chapter	Topics	Outline
Ch. 12	Oncologic management	nsg210-hinkle-ch12-oncologic-management
Ch. 19	Lung cancer, thoracic surgery, chest drainage	nsg210-hinkle-ch19-chest-lower-respiratory-disorders
Ch. 30	Lymphoma, leukemia, myeloma	nsg210-hinkle-ch30-hematologic-neoplasms
Ch. 68	Disaster nursing, chemical and radiological agents	nsg210-hinkle-ch68-disaster-nursing

Clinical

Death and Dying Communication Workshop: nsg210-death-dying-workshop (to-do list, prep, and summaries of all workshop files)

Slide vs Textbook Differences

Topic	Slides	Textbook or correction
Hypercalcemia in lung cancer	Paired with hyperphosphatemia (lung cancer slide 5)	Hypophosphatemia: PTH-related protein raises calcium and lowers phosphate
Lung cancer from smoking	90% (slide 2) and 85% (slide 7)	85-90%
Colorectal screening start age	50 (older ACS table)	45
Chest tube suction	20 mm Hg	20 cm H2O
NHL rank	6th most common US cancer	7th
Cancers over age 65	70% (cancer slide 4) and more than 60% (slide 40)
Radiation lung effect	“Radiation pneumonia”	Radiation pneumonitis
Tumor marker for germ cell tumors	“HGG”	hCG