A 62-year-old man with emphysema says, "My doctor wants me to quit smoking. It's too late now, though; I already have lung problems." Which of the following would be the best response to his statement?
a. "You should quit so your family does not get sick from exposure to secondhand smoke."
b. "You will need to use oxygen, but remember it is a fire hazard to smoke with oxygen in your home."
c. "Once you stop smoking, your body will begin to repair some of the damage to your lungs."
d. "You should ask your primary care provider for a prescription for a nicotine patch to help you quit."
C
The nurse's response should focus on correcting the patient's misinformation rather than on convincing him to stop smoking. Once a person stops smoking, the body begins to repair the damage. During the first few days, the person will cough more as the cilia begin to clear the airways. Then the coughing subsides, and breathing becomes easier. Even long-time smokers can benefit from smoking cessation. The suggestions that the patient's family will become ill and that oxygen is a fire hazard appear to be scare tactics, which can be seen as coercive, and would not be effective in motivating the patient to stop smoking. Although asking the primary care provider for a prescription may help the patient to stop smoking, it does not address his incorrect belief that it is "too late" for him to do so.
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The parents of an eight-month-old infant are very distressed that the infant cries for at least one hour when they go out on Friday nights. Which of these statements should the nurse make to the parents?
1. "Your infant is attached to you. This is an expected infant response." 2. "Your baby seems to be afraid of the sitter. Why don't you try another sitter?" 3. "Your infant is too young to be experiencing stranger anxiety; however, you might need to stop going out on Friday nights for a while." 4. "Oh, don't worry. All infants and toddlers display these behaviors until at least 2½ years old."
Diapers are changed:
a. Every 2 hours b. With every feeding c. Every 4 hours d. When wet or soiled
Which of the following is the highest priority for admission to inpatient care?
A) Confusion or disorientation B) Need for medication changes C) Safety of self or others D) Withdrawal from alcohol or other drugs
A prescription for a 5-year-old reads amoxicillin of a 500 mg tablet every 8 hours for 5 days. The pharmacy stocks amoxicillin in both a chewable 125 mg tablet and suspension. What should you do?
A. Dispense the medication as written, instructing the parent to break the tablets into four pieces. B. Dispense the medication as written, breaking the tablets prior to dispensing them. C. Dispense either a chewable tablet or liquid form of the medication. D. Consult with the pharmacist or authorized prescriber before changing the form of the medication.