A 36-year-old man who has chewed tobacco since he was a teenager is having a discussion about this habit with his nurse practitioner. What statement would suggest that the man is in the contemplation stage of change?
A) "I know I have to quit, and I'm sure that I will at some point."
B) "From what I've seen, chewing is a lot better for you than smoking."
C) "You can say what you want, but I just can't see myself kicking the habit."
D) "I know it's bad for me, and I'm going to quit at the end of the month."
A
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When caring for clients receiving chemotherapy, the nurse monitors for adverse effects of this therapy, including the most common and potentially life-threatening adverse effects related to:
a. pain. c. alopecia. b. myelosuppression. d. gastrointestinal distress.
A 16-year-old client comes to the prenatal clinic and is very concerned about a black line that has appeared on her abdomen. Which statement by the nurse will be most helpful to this client concerning this issue?
A. "This line occurs depending upon the sex of your baby. I don't want to tell you which one in case you don't know the gender of your baby yet." B. "This line indicates that you are getting too much iron in your diet. You need to reduce the amount of red meat you are eating." C. "This line is called the linea nigra and is related to the increase in your hormones during pregnancy." D. "Please don't be worried about this. It is normal and it will go away after you have your baby."
A patient is receiving intravenous voriconazole (Vfend). Shortly after the infusion starts, the patient tells the nurse, "Colors look different, and the light hurts my eyes." What will the nurse do?
a. Observe the patient closely for the development of hallucinations. b. Reassure the patient that these effects will subside in about 30 minutes. c. Stop the infusion and notify the provider of CNS toxicity. d. Tell the patient that this is an irreversible effect of the drug.
The nursing student is explaining principles of hemodialysis to the nursing instructor. Which statement made by the student indicates a need for additional study and research on the topic?
a. " Dialysis works as molecules from an area of higher concentration move to an area of lower concentration." b. " Blood and dialyzing solution flow in opposite directions across an enclosed semipermeable membrane." c. " Excess water, waste products, and excess electrolytes are removed from the blood." d. " Bacteria and other organisms can also pass through the membrane, so the dialysate must be kept sterile."