A client with a history of myocardial infarctions tells the nurse that he has been smoking for 35 years and it does not matter now if he stops. The best response by the nurse would be:

1. "It will reduce your risk of lung cancer.".
2. "Your risk of continued coronary heart disease will decrease by half when you stop.".
3. "It will decrease any complications you might develop.".
4. "It will enhance the effects of your medications.".


2. "Your risk of continued coronary heart disease will decrease by half when you stop.".

Rationale:
Smoking cessation reduces the risk for coronary heart disease by 50% no matter how long the person has smoked. It will reduce lung cancer, decrease complications, and possibly enhance medication effects, but the primary focus for this client is the effect on coronary heart disease.

Nursing

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The nurse is providing instructions for a woman who has just had intrauterine contraception inserted. What is essential for the nurse to teach the client?

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A patient is diagnosed with an ischemic stroke with the onset of symptoms within the last 2 hours. The best course of treatment for this patient would be to:

1. Admit the patient to a neurosurgical unit for a surgery consultation. 2. Consider the administration of intravenous recombinant tissue-type plasminogen activator (rt-PA or alteplase). 3. Observe for continuing symptoms. 4. Provide intravenous fluids.

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The best method to use in prescribing medications to patients is to:

1. prescribe only the safest drugs. 2. use references to predict exactly how a drug will work with each patient. 3. tailor the drug to the individual. 4. look up categories and choose the least expensive drug.

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The nurse is helping a patient in pain by gently massaging the painful area. Which type of pain control is the nurse using?

A. Biofeedback B. Guided imagery C. Cutaneous stimulation D. Acupuncture

Nursing