During a visit to the clinic, a patient states, "The doctor just told me he thought I ought to stop smoking. He doesn't understand how hard I've tried. I just don't know the best way to do it. What should I do?" The nurse's most appropriate response in this case would be:

"Stopping your dependence on cigarettes can be very difficult. I understand how you feel."

"I'd quit if I were you. The doctor really knows what he is talking about."

"Why are you confused? Didn't the doctor give you the information about the smoking cessation program we offer?"

"Would you like some information about the different ways a person can quit smoking?"

Answer and Explanation

The Correct Answer is D

A. "Stopping your dependence on cigarettes can be very difficult. I understand how you feel.":
Shows empathy but does not guide the patient toward the next step or offer a solution.

B. "I'd quit if I were you. The doctor really knows what he is talking about.":
Judgmental and authoritative, lacks therapeutic communication.

C. "Why are you confused? Didn't the doctor give you the information about the smoking cessation program we offer?":
Dismissive and confrontational, could make the patient feel criticized.

D. "Would you like some information about the different ways a person can quit smoking?":
Encourages patient involvement and supports informed decision-making, a core principle of patient education.

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Correct Answer is D

Explanation

A. "...indicates that air is present in the subcutaneous tissues.":
Describes subcutaneous emphysema, not fremitus.

B. "...reflects the blood flow through the pulmonary arteries.":
Fremitus is not related to circulation.

C. "...is caused by moisture in the alveoli.":
Moisture in alveoli causes crackles, not tactile fremitus.

D. "...is caused by sounds generated from the larynx.":
Fremitus is the palpable vibration produced by vocalization, transmitted through bronchopulmonary tissues to the chest wall.

A. The aortic valve is best heard at the third intercostal space at the right of the midclavicular line B. The mitral valve is heard at the second intercostal space in the midclavicular line C. The tricuspid valve is heard at the fourth intercostal space at the left of the sternal border D. The pulmonic valve is heard at the fourth intercostal space at the left of the sternal border

Correct Answer is C

Explanation

A. The aortic valve is best heard at the third intercostal space at the right of the midclavicular line:
Incorrect intercostal space. Aortic valve is heard at the second intercostal space, right sternal border.

B. The mitral valve is heard at the second intercostal space in the midclavicular line:
Incorrect. Mitral valve is heard at the fifth intercostal space, midclavicular line (apex).

C. The tricuspid valve is heard at the fourth intercostal space at the left of the sternal border:
This is the accurate location for auscultating the tricuspid valve.

D. The pulmonic valve is heard at the fourth intercostal space at the left of the sternal border:
Incorrect. The pulmonic valve is heard at the second left intercostal space, not the fourth.

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During a visit to the clinic, a patient states, "The doctor just told me he thought I ought to stop smoking. He doesn't understand how hard I've tried. I just don't know the best way to do it. What should I do?" The nurse's most appropriate response in this case would be:

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Naxlex Comprehensive Predictor Exams

The nurse is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate nurse reflects a correct understanding of tactile fremitus? "Tactile fremitus…

Correct Answer is D

Explanation

When auscultating the heart, which of the following statements is true?

Correct Answer is C

Explanation

When the nurse assessing the lung fields of a patient during the morning assessment, the nurse notes a short, popping and crackling sound. What is the priority action after this assessment?

When listening to heart sounds, the nurse knows the valve closures that can be heard best at the base of the heart are:

During a visit to the clinic, a patient states, "The doctor just told me he thought I ought to stop smoking. He doesn't understand how hard I've tried. I just don't know the best way to do it. What should I do?" The nurse's most appropriate response in this case would be:

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