Nokea
The nurse is teaching the client about smoking cessation. Which client statement indicates a need for further teaching by the nurse?
- A. Social smoking can still be detrimental to my health.
- B. E-cigarettes can help me wean off nicotine so I can quit.
- C. Pack years are calculated by my packs per day multiplied by the number of years I've smoked.
- D. Nicotine replacement therapy along with a smoking cessation program is the most successful treatment.
Correct Answer: B
Rationale: E-cigarettes are not FDA-approved for smoking cessation and may still pose health risks. Other statements are accurate.
You may also like to solve these questions
A client is being discharged from the hospital to home with an indwelling urinary catheter after the surgical repair of the bladder after trauma. The nurse determines that the client understands the principles of catheter management to prevent complications if the client states to follow which instruction?
- A. Cleanse the perineal area with soap and water once a day.
- B. Keep the drainage bag lower than the level of the bladder.
- C. Limit fluid intake so that the bag will not become full so quickly.
- D. Coil the tubing and place it under the thigh when sitting to avoid tugging on the bladder.
Correct Answer: B
Rationale: Keeping the drainage bag lower than the bladder prevents urine backflow, reducing infection risk. The perineal area should be cleansed twice daily and after bowel movements. Adequate fluid intake is necessary to prevent infection, and coiling tubing under the thigh can obstruct drainage.
The nurse has provided instructions to a client being discharged from the hospital to home after an abdominal aortic aneurysm (AAA) resection. The nurse determines that the client understands the instructions if the client states that which is an appropriate activity?
- A. Mowing the lawn
- B. Playing a game of 18-hole golf
- C. Lifting objects up to 30 pounds
- D. Walking as tolerated, including outdoors
Correct Answer: D
Rationale: Walking as tolerated is appropriate post-AAA resection, promoting circulation without straining the graft. Mowing, golf, and lifting over 15–20 pounds are prohibited for 6–12 weeks to avoid graft stress.
A client is diagnosed with organic erectile dysfunction and the nurse is collecting subjective data from the client. After the assessment, the nurse explains to the client that which are causes of this disorder?
- A. Stress
- B. Depression
- C. Hypertension
- D. Vascular disease
- E. Diabetes mellitus
- F. Alcohol consumption
Correct Answer: C,D,E,F
Rationale: Erectile dysfunction is the inability to achieve or maintain an erection for sexual intercourse. Organic erectile dysfunction is a gradual deterioration of function; the man first notices diminishing firmness and a decrease in frequency of erections. Causes include inflammation of the prostate, urethra, or seminal vesicles; surgical procedures such as prostatectomy; pelvic fractures or lumbosacral injuries; vascular diseases, including hypertension; chronic neurological conditions such as Parkinson's disease or multiple sclerosis; endocrine disorders such as diabetes mellitus or thyroid disorders; smoking and alcohol consumption; drugs; and poor overall health. Functional (not organic) erectile dysfunction usually has a psychological cause.
Mr. G has been admitted to the hospital with a head injury after a 12-foot fall. Which of the following nursing interventions is most appropriate when monitoring intracranial pressure?
- A. Administer hypotonic solutions
- B. Keep the head of the bed elevated
- C. Increase the client's core body temperature to 99.9 degrees
- D. Administer corticosteroids as ordered
Correct Answer: D
Rationale: Administering corticosteroids as ordered is appropriate when monitoring intracranial pressure in clients at risk of increased pressure to reduce brain tissue swelling. Elevating the head of the bed helps in managing intracranial pressure by promoting venous drainage. Administering hypertonic solutions is used to reduce brain edema and control intracranial pressure. Increasing the client's core body temperature is not recommended as it can exacerbate brain injury. Corticosteroids are not routinely used for all head injuries but may be indicated in specific cases, such as certain types of brain injuries where swelling needs to be controlled.
Which of the following conditions may warrant a serum creatinine level?
- A. Rhabdomyolysis
- B. Digitalis toxicity
- C. Glomerulonephritis
- D. All answers are correct
Correct Answer: D
Rationale: A serum creatinine level may be warranted in conditions that can affect renal function or cause muscle breakdown. Rhabdomyolysis, characterized by muscle injury and breakdown, can lead to elevated creatinine levels due to the release of creatinine from muscles. Digitalis toxicity can impair renal function, leading to a need for monitoring creatinine levels. Glomerulonephritis, an inflammatory condition affecting the kidney's filtering units, can also impact renal function and require assessment of creatinine levels. Therefore, all the provided conditions may warrant a serum creatinine level to assess renal function and muscle breakdown.