A client who smokes one pack of cigarettes per day tells the nurse that she will need to be taken outside to have a cigarette while recovering from surgery. Which of the following can the nurse respond to this client?
1. "That can be arranged."
2. "You really should stop smoking before the surgery."
3. "Your physician will prescribe medication to help reduce the nicotine cravings."
4. "I can assign someone who will be responsible for transporting you to the smoking section."
3
The client who smokes will have concerns about nicotine withdrawal. The nurse should respond that medications are available and can be prescribed to help the client through this difficult time. The nurse should not support the client's smoking by saying that being taken out of doors can be arranged or that someone will be assigned to transport the client to the smoking section. The response "you really should stop smoking before the surgery" does not address the client's concern.
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The nurse is caring for a patient who had a cesarean birth 4 hours ago. Which interventions would the nurse implement at this time? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Administer analgesics as needed. 2. Encourage the patient to ambulate to the bathroom to void. 3. Encourage leg exercises every 2 hours. 4. Encourage the patient to cough and deep-breathe every 2–4 hours. 5. Encourage the use of breathing, relaxation, and distraction.
A mental health nurse is discussing the treatment options with a schizophrenic client. Which option includes legal and advocacy services?
A) Day-treatment programs B) Programs for Assertive Community Treatment (PACT) C) Psychiatric home care D) Psychiatric emergency care