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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Controlling my blood pressure will decrease my risk of having a heart attack to some degree." This statement is accurate. Controlling blood pressure reduces the risk of developing ACS.
B. "Because I'm over 80, even a 20 mm Hg drop in my blood pressure can reduce my risk." Research indicates that even modest reductions in blood pressure can significantly lower the risk of cardiovascular events, especially in older adults.
C. "High blood pressure will increase my body's need for oxygen and increase my heart's workload." High blood pressure increases myocardial oxygen demand and can lead to ischemia, which is a precursor to ACS.
D. "My high blood pressure has no relationship to the severity of heart disease or its outcomes." This statement is false. High blood pressure is a major risk factor for heart disease, including ACS, and it directly affects the severity and outcomes of heart disease.
Correct Answer is ["B","E"]
Explanation
A. Annual vitamin K injections: Vitamin K injections do not prevent Hepatitis B.
B. Use of standard precautions: Standard precautions reduce the risk of exposure to bloodborne pathogens, including Hepatitis B.
C. Consumption of a vitamin-rich diet: While a healthy diet is important, it does not specifically prevent Hepatitis B.
D. Annual vitamin B12 injections: Vitamin B12 injections are unrelated to Hepatitis B prevention.
E. Immunization: Vaccination is a key preventive measure against Hepatitis B.
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