A 66-year-old patient presents to the clinic complaining of dyspnea and wheezing. The patient reports a smoking history of 2 packs of cigarettes per day since age 16. This would be recorded in the chart as:
A. 50 x 2-pack years
B. 100-pack years
C. 50-year, 2-pack history
D. 100 pack history
ANS: B
When recording the smoking history, the measure is calculated by the number of packs per day multiplied by the number of years the patient smoked. In this scenario, the patient smoked 2 packs per day for 66 – 16 years = 50 years. This is 100-pack years.
You might also like to view...
A nurse educator is providing a continuing education class on pharmacology. To evaluate the learning of the nurses in the class, the nurse educator asks, "Which of the following is (or are) a generic drug name?"
a. Acetaminophen b. Tylenol c. Cipro d. Motrin
The parents of a newborn say that their toddler "hates the baby. . . . He suggested that we put him in the trash can so the trash truck could take him away." What is the nurse's best reply?
a. "Let's see if we can figure out why he hates the new baby." b. "That's a strong statement to come from such a small boy." c. "Let's refer him to counseling to work this hatred out. It's not a normal response." d. "That is a normal response to the birth of a sibling. Let's look at ways to deal with this."
A nurse understands that certain medications can boost the production of red blood cells, white blood cells, or platelets in patient. What is the name of this group of medications?
1. Colony stimulating factors 2. Hematopoietic growth factors 3. Anticoagulants 4. Hemostatics
The perinatal nurse is providing care to Carol, a 28-year-old multiparous woman in labor. Upon arrival to the birthing suite, Carol was 7 cm dilated and experiencing contractions every 1 to 2 minutes which she describes as "strong."
Carol states she labored for 1 hour at home. As the nurse assists Carol from the assessment area to her labor and birth room, Carol states that she is feeling some rectal pressure. Carol is most likely experiencing: a. Hypertonic contractions b. Hypotonic contractions c. Precipitous labor d. Uterine hyperstimulation