While obtaining a client’s health history related to smoking cigarettes, the nurse plans to determine the client’s smoking pack years.

What information should the nurse obtain for this calculation? Select all that apply.

Packs of cigarettes smoked per day.

Number of attempts to quit smoking.

Client’s current age.

Age when the client started smoking.

Number of years the client smoked.

Answer and Explanation

Correct Answer : A,E

Choice A rationale
Packs of cigarettes smoked per day is essential information for calculating smoking pack years.
Choice B rationale
The number of attempts to quit smoking is not required for calculating smoking pack years.
Choice C rationale
The client’s current age is not required for calculating smoking pack years.
Choice D rationale
While this helps you calculate the total years if the client hasn't done the math themselves, the age itself is not a variable in the final formula.
Choice E rationale
The number of years the client smoked is essential for calculating smoking pack years.

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Correct Answer is C

Explanation

A. Number of blood clots expelled with each stool.Thisis not the most comprehensive approach as it focuses solely on clots without addressing other key aspects, such as stool color or consistency. Clots are also not always present with rectal bleeding.

B. Unique odor noted with gastrointestinal bleeding.While gastrointestinal bleeding, particularly upper GI bleeding, can produce a distinct odor, odor is subjective and not a reliable or standard assessment criterion to document.

C. Color characteristics of each stool.Stool color provides critical information about the source of the bleeding. For example, bright red blood (hematochezia) indicates lower GI bleeding, while black, tarry stools (melena) suggest upper GI bleeding. Documenting stool color helps in identifying the location and nature of the bleeding.

D. Evidence of internal hemorrhoids.While hemorrhoids are a common cause of rectal bleeding, the nurse cannot confirm the presence of internal hemorrhoids without diagnostic tools like anoscopy or sigmoidoscopy. The nurse should focus on documenting observable and measurable findings.

A. Check distal phalanges capillary refill. B. Evaluate client’s muscle strength and hand grips. C. Review the client’s serum electrolytes. D. Observe skin for erythema, edema, and warmth.

Correct Answer is B

No explanation

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While obtaining a client’s health history related to smoking cigarettes, the nurse plans to determine the client’s smoking pack years. What information should the nurse obtain for this calculation? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When evaluating a client’s rectal bleeding, which findings should the nurse document?

Correct Answer is C

Explanation

A client who is admitted for an acute stroke reports the onset of a burning sensation in the hands and legs. Which action should the nurse implement to identify additional findings that are consistent with the client’s paresthesia?

Correct Answer is B

The nurse applies pressure over an area of the lower abdomen where the client reports pain. The client denies pain upon palpation but reports pain when the pressure is released. Which action should the nurse implement?

Which assessment finding supports the client statement, “My feet swell all the time?”

An older adult male arrives at the healthcare center with lower abdominal discomfort and frequent urination. The nurse asks the client to provide a urine sample.After an extended period of time, the client returns with only a few drops of urine. Which action should the nurse implement?

The nurse is performing an admission assessment for a client with pyelonephritis who has urgency and burning while urinating. Which finding indicates an expected response when the nurse percusses the costovertebral angle?

While performing a physical assessment, the nurse is unable to palpate the client’s pedal pulses. Which action should the nurse take?

During the admission assessment, a client admitted with chest pain reports having no breathing problems and no trouble sleeping at night. To obtain further data regarding possible orthopnea, which action should the nurse take?

An adolescent female client comes to the clinic troubled by breast tenderness before her menstrual periods. On examination, the nurse notes generalized lumpiness of both breasts with no discrete masses and no nipple discharge. Which action should the nurse take?

While obtaining a client’s health history related to smoking cigarettes, the nurse plans to determine the client’s smoking pack years.

What information should the nurse obtain for this calculation? Select all that apply.