Nokea
A nurse obtains the health history of a client who is recently diagnosed with lung cancer and identifies that the client has to exposed your smoking history. Which action is most important for the nurse to take when interviewing this client?
- A. Tell a client that he needs to quit smoking to stop further cancer development
- B. Encourage the client to be completely honest about both tobacco and marijuana use
- C. Maintain a nonjudgmental attitude to avoid causing the client to feel guilty
- D. Avoid giving the client false hope regarding cancer treatment and prognosis
Correct Answer: C
Rationale: Smoking history includes the use of cigarettes, cigars, pipe tobacco, marijuana, and other controlled substances. Because the client may have quit or be in denial about this habit, a nonjudgmental attitude during the interview encourages honesty about exposure. Asking about current or past use and passive exposure is important, but maintaining a nonjudgmental attitude is the priority to facilitate open communication.
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A nurse teaches a client who is interested in smoking cessation. Which statements should the nurse include in this client's teaching? (Select all that apply.)
- A. Find an activity that you enjoy and will keep your hands busy
- B. Keep snacks like potato chips on hand to nibble on
- C. Identify a punishment for yourself if you backslide
- D. Drink at least eight glasses of water each day
- E. Make a list of reasons you want to stop smoking
Correct Answer: A,D,E
Rationale: Encouraging activities to keep hands busy, staying hydrated, and listing reasons for quitting support smoking cessation. Potato chips are unhealthy snacks, and punishment for backsliding is not constructive.
A nurse assesses a client who is prescribed varenicline (Chantix) for smoking cessation. Which findings should the nurse identify as adverse effects of this medication? (Select all that apply.)
- A. Visual hallucinations
- B. Tachycardia
- C. Decreased cravings
- D. Impaired judgment
- E. Increased thirst
Correct Answer: A,D
Rationale: Varenicline has a black box warning for causing behavioral changes, including visual hallucinations and impaired judgment. Tachycardia and increased thirst are not associated adverse effects, while decreased cravings is a desired therapeutic effect.
A nurse collaborates with a respiratory therapist to complete pulmonary function tests (PFTs) for a client. Which statements should the nurse include in communications with the respiratory therapist prior to the tests? (Select all that apply.)
- A. Withhold bronchodilator medication
- B. The client is ready to go down to radiology for this examination
- C. Physical therapy states the client can run on a treadmill
- D. The client has not smoked in the last 6 hours
- E. The client is alert and can follow your commands
Correct Answer: A,D,E
Rationale: Withholding bronchodilators, confirming no recent smoking, and ensuring the client can follow commands are essential for accurate PFTs. PFTs are performed at the bedside, not in radiology, and a treadmill is not used.
A nurse plans care for a client who is at high risk for a pulmonary infection. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
- A. Encourage deep breathing and coughing
- B. Implement an air mattress overlay
- C. Ambulate the client three times each day
- D. Provide a diet high in protein and vitamins
- E. Administer acetaminophen (Tylenol) twice daily
Correct Answer: A,C,D
Rationale: Deep breathing and coughing, ambulation, and a nutrient-rich diet promote respiratory health and prevent infection. An air mattress overlay is for pressure relief, not respiratory health, and acetaminophen does not reduce infection risk.
A nurse teaches a client who is prescribed nicotine replacement therapy. Which statement should the nurse include in this client's teaching?
- A. Make a list of reasons why smoking is a bad habit
- B. Rise slowly when getting out of bed in the morning
- C. Smoking while taking this medication will increase your risk of a stroke
- D. Stopping this medication suddenly increases your risk for a heart attack
Correct Answer: C
Rationale: Smoking while using nicotine replacement therapy increases cardiovascular risks, including stroke. The nurse should emphasize avoiding smoking during treatment. Other statements are not directly relevant to nicotine replacement therapy.