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jc123 jc123
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6 years ago
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 in case you backslide.
  d. Drink at least eight glasses of water each day.
  e. Make a list of reasons you want to stop smoking.

Question 2

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. I held the client's morning 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. I advised the client not to smoke for 6 hours prior to the test.
  e. The client is alert and can follow your commands.

Question 3

A nurse assesses a 66-year-old client who is attempting to quit smoking. The client states, I started smoking at age 16, and smoked one pack each day until 10 years ago. Then I decreased to a half of a pack per day.
 
  How many pack-years should the nurse document for this client? (Record your answer using a whole number.) ___ pack-years

Question 4

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.
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wrote...
6 years ago
The answer to question 1

ANS: A, D, E
The nurse should teach a client who is interested in smoking cessation to find an activity that keeps the hands busy, to keep healthy snacks on hand to nibble on, to drink at least 8 glasses of water each day, and to make a list of reasons for quitting smoking. The nurse should also encourage the client not to be upset if he or she backslides and has a cigarette.

The answer to question 2

ANS: A, D, E
To ensure the PFTs are accurate, the therapist needs to know that no bronchodilators have been administered in the past 4 to 6 hours, the client did not smoke within 6 to 8 hours prior to the test, and the client can follow basic commands, including different breathing maneuvers. The respiratory therapist can perform PFTs at the bedside. A treadmill is not used for this test.

The answer to question 3

ANS:
45 pack-years
66 (current age) - 16 (year started smoking) = 50 years of smoking.
(40 years  1 pack per day) + (10 years  0.5 pack per day) = 45 pack-years.

The answer to question 4

ANS: A, C, D
Regular pulmonary hygiene and activities to maintain health and fitness help to maximize functioning of the respiratory system and prevent infection. A client at high risk for a pulmonary infection may need a specialty bed to help with postural drainage or percussion; this would not include an air mattress overlay, which is used to prevent pressure ulcers. Tylenol would not decrease the risk of a pulmonary infection.
jc123 Author
wrote...
6 years ago
Smiling Face with Glasses Feeling super confident now, TY
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