A patient reports smoking two or more packs of cigarettes per day and expresses a desire to quit smoking. The primary care NP learns that the patient smokes heavily during breaks at work and during the evening but with no established schedule
The NP should recommend: a. bupropion (Wellbutrin).
b. nicotine replacement gum or nasal spray.
c. a high-dose 24-hour nicotine patch.
d. intensive smoking cessation counseling.
B
Nicotine replacement gum and nasal spray both can be used when patients have cravings and are especially useful for patients who do not smoke at particular times. The patch is useful when patients smoke consistently throughout the day. Bupropion is not indicated. Intensive counseling is often necessary for patients who have difficulty stopping and have failed several times.
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The nurse is reviewing aspects of cultural care. Which statements illustrate proper cultural care? Select all that apply
a. Examine the patient within the context of one's own cultural health and illness practices. b. Select questions that are not complex. c. Ask questions rapidly. d. Touch patients within the cultural boundaries of their heritage. e. Pace questions throughout the physical examination.
A cocaine abuser complains, "There are bugs crawling under my skin." Which term should the nurse use to document this finding?
a. Confabulation b. Formication c. Synesthesia d. Euphoria
Which client requires the most immediate intervention by the nurse?
1. A client with a maxillary fracture who has been swallowing frequently 2. A client with a temporal bone fracture experiencing hearing loss 3. A client with a fractured nasal bone experiencing a nosebleed 4. A client with a mandibular fracture who has facial numbness and tingling
A home health nurse is working with a client who has pulmonary fibrosis. The nurse at the time of discharge established which of the following teaching priorities for follow-up care?
1. The client will be able to set up and administer a nebulizer treatment by the end of the day. 2. The client will have increased activity level by the end of the week. 3. The client will be able to do ADLs (activities of daily living) without shortness of breath in 3 days. 4. The client will have a positive attitude about the diagnosis by the end of the month.