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 B

No explanation

A. Offer to administer a laxative prescribed for PRN use. B. Obtain a prescription to catheterize the client’s bladder. C. Notify the healthcare provider of the rebound tenderness. D. Instruct the client in distraction and relaxation techniques.

Correct Answer is C

Explanation

Choice A rationale
Offering to administer a laxative prescribed for PRN use is not appropriate in this situation, as the presence of rebound tenderness suggests a more serious underlying condition, such as appendicitis.
Choice B rationale
Obtaining a prescription to catheterize the client’s bladder is not indicated, as the symptoms are related to abdominal pain and rebound tenderness, not urinary retention.
Choice C rationale
Notifying the healthcare provider of the rebound tenderness is the appropriate action, as this finding could indicate a serious condition such as appendicitis. Prompt medical evaluation and intervention are necessary.
Choice D rationale
Instructing the client in distraction and relaxation techniques may help manage pain, but it does not address the underlying cause of the rebound tenderness. Immediate medical evaluation is required.

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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

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

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Correct Answer is C

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.