A patient with peripheral arterial disease (PAD) is a smoker. The nurse has established a nursing diagnosis of Deficient Knowledge of Self-Care Needs and Treatment Plan related to tobacco use
Which intervention should the nurse choose to implement? 1. Encourage the patient to use medications to stop smoking.
2. Discuss with the patient a smoking cessation plan.
3. Instruct the patient in increasing exercise.
4. Discuss the patient's use of herbal therapies for smoking cessation.
2
Rationale 1: The nurse should provide an overall plan for smoking cessation, not just information about medications.
Rationale 2: It is critical for patients who smoke to stop smoking to improve their outcomes. A smoking cessation plan should be implemented and follow-up instituted after the patient quits smoking.
Rationale 3: Exercise may be part of an overall smoking cessation plan but will not be sufficient alone.
Rationale 4: The use of herbal therapies may help the patient stop smoking but should be discussed in the context of an overall plan.
You might also like to view...
The nurse recognizes which of the following as a barrier to achieving goals?
a. The effects of pain and/or clinical depression b. Patient involvement in setting patient goals c. Family involvement in setting patient goals d. Realistic expectations of the patient's capabilities.
When reading the laboratory report of a patient with excessive diarrhea, the nurse notes that the pH is 7.10, and the PaCO2 and the PaO2 are normal. What should the nurse recognize as this patient's state from this information alone?
a. Respiratory acidosis b. Metabolic acidosis c. Respiratory alkalosis d. Metabolic alkalosis
A healthy older patient is experiencing sleep problems. What should the nurse instruct the patient about the influence of aging as it relates to sleep?
A) As people age, most of them require fewer hours of sleep. B) The normal aging process has minimal effect on the quantity of sleep. C) Older adults are no longer bothered by noise and lights during the night. D) Older people sleep more soundly but awaken more often during the night.
Which intravenous solution should the nurse be prepared to administer to a client who has isotonic dehydration?
A. Dextrose 5% in water B. Dextrose 10% in water C. 0.45% sodium chloride D. 0.9% sodium chloride