When interviewing a newly admitted client, the nurse learns that the client is a cigarette smoker. It is determined that the client has a 50 pack-year history. This means that the client has smoked:
1. 2 packs of cigarettes a day for 25 years
2. 50 cigarettes a week for the last year
3. 1 pack a week for the last year
4. 50 packs within the last year
ANS: 2
If a client smoked 2 packs a day for 20 years, the client has a 40 pack-year history (packages per day x years smoked).
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The nurse is caring for a client who has been on bedrest for several weeks. The nurse takes precaution when assisting the client to the chair due to the risk of
1. Hypotension 2. Hypertension 3. Orthostatic hypertension 4. Orthostatic hypotension
A patient who amputated his thumb in a lawnmower accident hands the ER nurse his thumb in a glass jar. The nurse should:
1. place the thumb in a baggie with iced Ringer's lactate. 2. wrap the thumb in plastic wrap and place on ice. 3. leave the thumb in the jar and put it in the refrigerator. 4. wrap the thumb in a cloth saturated with normal saline and place in a baggie.
The nursing caring for a client who experienced an ischemic stroke 8 hours ago recognizes that the medication being administered for the purpose of preventing further obstruction of vascular cerebral blood flow is: Select all that apply
1. Intravenous heparin. 2. Subcutaneous low-molecular-weight heparin. 3. Intravenous mannitol. 4. Intravenous dopamine. 5. Subcutaneous insulin.
The mother of a 6-month-old baby brings her son in for his follow-up well-child appointment. The mother informs the nurse that the baby "seems depressed.". Which of the following would be an appropriate response by the nurse to the mother?
1. "Infants are too young and can't be diagnosed with depression.". 2. "Since you haven't had any episodes of depression, the baby is not at risk for developing depression.". 3. "The baby appears to be interactive and happy here.". 4. "I see that the baby looks away from you when you talk to him and shows little interest in his rattle.".