A nurse assesses a 66-year-old client who is attempting to quit smoking. The client states, "I started smoking at age 16, and smoked one pack each day until 10 years ago. Then I decreased to a half of a pack per day."
How many pack-years should the nurse document for this client? (Record your answer using a whole number.) ___ pack-years
ANS:
45 pack-years
66 (current age) - 16 (year started smoking) = 50 years of smoking.
(40 years × 1 pack per day) + (10 years × 0.5 pack per day) = 45 pack-years.
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Tests of stability reliability, such as test-retest, can reveal random measurement error. Why is systematic measurement error not revealed when stability reliability determinations are made?
a. Actually, reliability testing does not reveal the type of error: differences on test-retest can indicate problems with both random and systematic measurement error. b. Tests of stability reliability are not powerful enough to pick up systematic measurement error because of its subtlety. c. If an instrument systematically measures all blood pressures 10 points high, it will do so both at baseline and on retesting. d. The direction of the systematic measurement error is reversed on retesting, so it is not visible in the statistical analysis.
The nurse is documenting the obstetric history of a pregnant woman during her first prenatal visit using the GP/TPAL notation system. The client reports that this will be her third child
She delivered her first child at 32 weeks and her second child at 40 weeks. She had a miscarriage 5 years ago, of unknown age, and another miscarriage at 7 weeks last year. Which of the following represents the correct documentation of this history? A) 4 2 0 2 3 B) 5 2 1 1 3 C) 4 1 2 1 2 D) 5 1 1 2 2
The nurse notes on assessment that a 1-year-old child is underweight, with abdominal distention, thin legs and arms, and foul-smelling stools. The nurse suspects failure to thrive associated with which condition?
a. Celiac disease b. Intussusception c. Irritable bowel syndrome d. Imperforate anus
Which one of the following groups accounts for approximately one third of the world's disease burden?
a. Children from birth to 18 years of age b. Women between 15 and 44 years of age c. Women between 45 and 59 years of age d. Elderly men