During a health history interview, a male client reports that he smokes cigarettes. Which question should the practical nurse (PN) ask next?
"Has anyone in your family had lung cancer?"
"Do you plan to quit now that you are ill?"
"Can you tell me why you smoke?"
"How many packs do you smoke each day?"
The Correct Answer is D
A. "Has anyone in your family had lung cancer?": While assessing family history is important, it does not provide immediate information about the client’s personal smoking pattern, which is essential for risk evaluation and care planning.
B. "Do you plan to quit now that you are ill?": Asking this question too early can sound judgmental and may make the client defensive. The PN should first gather objective data about the smoking habit before discussing cessation readiness.
C. "Can you tell me why you smoke?": Exploring the client’s motivation for smoking is helpful later in counseling, but it is not the priority question during initial assessment. The nurse must first quantify tobacco exposure.
D. "How many packs do you smoke each day?": Determining the quantity smoked provides a measurable baseline for assessing nicotine dependence and health risks. This question establishes the “pack-per-day” history needed to calculate total exposure and guide education or cessation planning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Check the blood pressure: Assessing blood pressure is not the immediate priority when a client is found unresponsive. Vital signs should be taken after confirming the client’s responsiveness, pulse, and breathing, and after activating emergency help if necessary.
B. Obtain emergency help: The first and most critical action is to call for emergency assistance to initiate the facility’s emergency response system. Immediate help ensures that advanced life support measures and resuscitation equipment can be provided without delay.
C. Bring a glucometer to the room: Checking blood glucose is important if hypoglycemia is suspected, but it should only be done after confirming airway, breathing, and circulation. Delaying emergency activation while obtaining equipment may waste resuscitation time.
D. Feel for a carotid pulse: Assessing the carotid pulse is part of the initial assessment sequence but should occur simultaneously or immediately after emergency help is called. The PN should ensure help is on the way before beginning pulse or breathing checks.
Correct Answer is D
Explanation
A. Remind the UAP to clean the ends of the tubing with an alcohol swab: While proper aseptic technique is important, disconnecting the IV unnecessarily increases the risk of infection. Prevention by proper gown removal technique is preferred.
B. Help the UAP disconnect the IV tubing to ensure sterility: Disconnecting the IV exposes the line to contamination and is unnecessary for a bed bath. This action increases infection risk and is not the recommended approach.
C. Obtain a hospital gown with snap sleeves to put on the client: Snap-sleeve gowns can help prevent IV disconnection, but the PN must first ensure the UAP understands proper technique for gown removal without disrupting the IV.
D. Demonstrate how to remove the client's gown without disconnecting the IV: Teaching the UAP the correct method prevents accidental disconnection, maintains aseptic technique, and ensures client safety. This addresses the issue directly and promotes safe practice.
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