The nurse is calculating a client's smoking history in pack-years. The client has recently been diagnosed with lung cancer. Which is the nurse's priority intervention during the interview?
a. Encourage the client to quit smoking to stop further cancer development.
b. Encourage the client to be completely honest about both tobacco and marijuana use.
c. Maintain a nonjudgmental attitude to avoid causing the client to feel guilty.
d. Avoid giving the client false hope regard-ing cancer treatment and prognosis.
C
Smoking history includes the use of cigarettes, cigars, pipe tobacco, marijuana, and other con-trolled substances. Ask the client whether any of these substances are used now or were used in the past. Assess whether the client has passive exposure to smoke in the home or workplace. If the client smokes, ask for how long, how many packs a day, and whether he or she has quit smoking (and how long ago). Document the smoking history in pack-years (number of packs smoked daily multiplied by the number of years the client has smoked). Because the client may have guilt or denial about this habit, assume a nonjudgmental attitude during the interview. This will encourage the client to be honest about the exposure.
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The nurse is concerned because a 77-year-old patient is weak after abdominal surgery. Which of the following should be done to ensure that one of the preventable conditions identified by the Centers for Medicare and Medicaid does not occur?
a. Use the "rights" of medication adminis-tration. b. Provide frequent opportunities to use the bathroom. c. Document thoroughly. d. Complete discharge teaching as quickly as possible.
The daughter of an older patient with diabetes and peripheral vascular disease wants to soak the patient's feet. What teaching should the nurse provide to the daughter regarding soaking the patient's feet?
A) Foot soaking can lead to fungal infections B) Foot soaking is noted to improve circulation C) Foot soaking offers a viable alternative to tub bathing D) Foot soaking is likely to increase the patient's foot problems
A client has not responded to chemotherapy and radiation therapy. What option may be available for treatment for this client?
A) If chemotherapy and radiation do not work, there is no other treatment. B) Aldesleukin C) Tumor necrosis factor inhibitors D) Colony-stimulating factor
When planning meaningful stimulation for a client with sensory deprivation, it is most important that the nurse:
a. provide a variety of stimuli so the client will not become bored. b. include visual stimuli because that is the most important sense for most people. c. determine whether the deprivation is due to inadequate stimuli or the inability to receive or process stimuli. d. only to stimulate the client if there is a physician's order to do so.