The nurse is preparing adult smoking cessation material for a patient admitted with heart failure. What criteria did the nurse use to determine that the patient should receive this material?

Patient stopped smoking five years prior to hospitalization

Patient smokes five cigars a week

Patient uses chewing tobacco

Patient smoked cigarettes any time during the last year prior to hospitalization

Answer and Explanation

The Correct Answer is B

A. Patient stopped smoking five years prior to hospitalization: Smoking cessation materials are typically targeted to current smokers or those who have quit very recently (usually within the last year). This patient may not need smoking cessation materials as they have been smoke-free for a significant period.

B. Patient smokes five cigars a week: Smoking cigars still carries health risks similar to cigarettes and indicates the need for smoking cessation materials.

C. Patient uses chewing tobacco: Chewing tobacco is a form of smokeless tobacco, and while harmful, it would require different educational materials focused on smokeless tobacco cessation rather than smoking cessation.

D. Patient smoked cigarettes any time during the last year prior to hospitalization: This indicates current or recent smoking behavior which is a significant risk factor that needs to be addressed.

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Correct Answer is C

Explanation

A. Monitoring of results of liver function testing: While important, monitoring liver function tests is a routine assessment rather than a prioritized one compared to assessing for complications like ascites.

B. Assessment for signs and symptoms of jaundice: Jaundice is a common finding in cirrhosis but does not necessarily indicate an acute complication.

C. Measurement of abdominal girth and body weight: In advanced cirrhosis, monitoring for ascites and fluid retention is critical as these indicate worsening disease and potential complications.

D. Assessment for variceal bleeding: Incorrect. While important, the priority in routine assessment is monitoring for ascites and fluid overload, which can be managed more readily.

A. Near-drowning B. Aspiration C. Pancreatitis D. Toxic inhalation

Correct Answer is C

Explanation

A. Near-drowning: This is a direct cause of ARDS. Inhalation of water can lead to pulmonary edema, which triggers ARDS.

B. Aspiration: Aspiration of gastric contents can directly injure the lungs and is a well-known cause of ARDS.

C. Pancreatitis: Pancreatitis is associated with ARDS, but it is an indirect cause, not a direct one. The inflammatory response from pancreatitis can lead to ARDS, but it is not due to direct lung injury.

D. Toxic inhalation: Inhaling toxic substances can cause direct damage to the alveoli and lead to ARDS.

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The nurse is preparing adult smoking cessation material for a patient admitted with heart failure. What criteria did the nurse use to determine that the patient should receive this material?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

. A nurse is caring for a client who has been admitted for the treatment of advanced cirrhosis. What assessment should the nurse prioritize in this client's plan of care?

Correct Answer is C

Explanation

Which of the following is not a direct cause of ARDS?

Correct Answer is C

Explanation

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A patient with cholelithiasis asks the nurse why he/she is jaundiced. What is the nurse's best answer?

A patient with cirrhosis is becoming lethargic and confused. Which of the following labs does the nurse expect the HCP (health care provider) to order?

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. A nurse is discussing management of hypertension with a patient. Which patient statement indicates that additional teaching about the relationship between hypertension and acute coronary syndrome (ACS) is needed?

Interpret the following ABG: PH 7.51 Pa02 88 PaC02 32 Bicarb (HC03-) 26 Sa02 95%

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