A male client tells the practical nurse (PN) that he is afraid of getting cancer so he plans to quit smoking cigarettes by switching to a smokeless tobacco product. How should the PN respond?

Remind the client that he is likely to gain weight when attempting to stop smoking.

Provide information to the client about risks associated with smokeless tobacco.

Explain to the client that obesity is a more significant health risk than smoking.

Encourage the client to continue with this plan to reduce his risk for cancer.

Answer and Explanation

The Correct Answer is B

Smokeless tobacco, such as chewing tobacco or snuff, still contains harmful substances, including nicotine and various chemicals. It is associated with several health risks, including an increased risk of oral, esophageal, and pancreatic cancers, as well as gum disease, tooth loss, and nicotine addiction.
Incorrect:

A. By providing this information, the nurse can help the client make an informed decision about their smoking cessation plan. It is crucial to emphasize that quitting tobacco altogether is the best approach to reduce the risk of cancer and improve overall health.
C. The nurse should not encourage the client to continue with the plan to switch to smokeless tobacco as a means of reducing the risk for cancer. Instead, the focus should be on supporting the client's efforts to quit tobacco entirely and providing appropriate resources and interventions to facilitate smoking cessation.
D. Addressing the concern about weight gain when quitting smoking is also important, but it should be done in the context of promoting healthy lifestyle changes and offering strategies to manage weight during the smoking cessation process.

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Correct Answer is A

Explanation

A client with continuous urinary bladder irrigation via a 3-way catheter: This task requires specialized knowledge and skill to ensure proper management of the irrigation process, monitoring for complications, and adjusting the irrigation rate as needed. It falls within the scope of practice of the PN, who has the necessary training and expertise.
B. A client with urinary urgency and incontinence who is asking for a bedpan: This task can be safely and appropriately assigned to the UAP. Assisting the client with using a bedpan for voiding is a basic care task that does not require specialized nursing knowledge or skills.
C. A client with a full urinary bedside drainage unit after receiving a diuretic: Emptying a full urinary bedside drainage unit is a task that can be assigned to the UAP. It involves routine emptying and documentation of the drainage bag and does not require specialized nursing knowledge or skills.
D. A client with paraplegia who needs a urinary condom-catheter change: This task requires specialized knowledge and skill to perform a sterile procedure, ensure proper placement and securement of the condom catheter, and assess for any complications. It falls within the scope of practice of the PN, who has the necessary training and expertise.

A. Gather the procedure tray and equipment. B. Cleanse the site and cover with a sterile towel. C. Keep the patient NPO (nothing by mouth) and encourage them to void. D. Place the patient in an orthopneic position.

Correct Answer is A

Explanation

A. Gather the procedure tray and equipment – The practical nurse should gather all necessary supplies for the healthcare provider to perform the thoracentesis efficiently. Preparing the equipment beforehand ensures that the procedure can start promptly and reduces interruptions for missing supplies.

Rationale for Incorrect Answers:
B. Cleanse the site and cover with a sterile towel – This action should be performed by the healthcare provider immediately before the procedure to maintain sterility. The PN’s role is to prepare equipment and ensure the client is positioned correctly.

C. Keep the patient NPO (nothing by mouth) and encourage them to void – While voiding may be encouraged before some procedures to improve client comfort, it is not necessary for thoracentesis. Additionally, keeping the client NPO is not required, as the procedure does not typically involve sedation that would necessitate this restriction.

D. Place the patient in an orthopneic position – This may be done just before the procedure, but the healthcare provider typically directs the final positioning. Initial positioning or seating at the bedside can be done, but orthopneic positioning should follow the provider’s instructions.

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A male client tells the practical nurse (PN) that he is afraid of getting cancer so he plans to quit smoking cigarettes by switching to a smokeless tobacco product. How should the PN respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is assigning tasks to an unlicensed assistive personnel (UAP) who is giving basic care to a group of residents in a long-term care facility. Which client's task should be completed by a PN, rather than the UAP?

Correct Answer is A

Explanation

Ancient is scheduled for a thoracentesis that will be done at the bedside. What should the practical nurse (PN) prepare before the healthcare provider arrives to perform the procedure?

Correct Answer is A

Explanation

An older postoperative client has the nursing problem, "Impaired mobility related to fear of falling." Which desired outcome best directs the practical nurse's (PN) actions for this client?

Which intervention is most important for the practical nurse (PN) to implement for a client who is receiving total parenteral nutrition (TPN)?

The practical nurse (PN) prepares to remove a client's saline lock. Which supplies should the PN gather? (Select all that apply.)

A female client with immune thrombocytopenic purpura (ITP) is transferred to a long term care facility for physical rehabilitation. To prevent injury, which action is most important for the practical nurse to implement?

The practical nurse (PN) is preparing a client for discharge who receives a prescription for oral prednisone to treat a severe allergic reaction. Which teaching about medication administration should the PN reinforce?

The practical nurse (PN) palpates a client's radial pulse and notes that the pulse disappears when light pressure is applied. How should the PN document this finding?

A male client who has just been told he has cancer asks the practical nurse (PN) to leave his room so he can be alone. Which action should the PN implement?