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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.

A.

Packs of cigarettes smoked per day.

B.

Number of attempts to quit smoking.

C.

Client’s current age.

D.

Age when the client started smoking.

E.

Number of years the client smoked.

Question Solution

Correct Answer : A,D,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

 

The age when the client started smoking is necessary to determine the total number of years smoked.

 

Choice E rationale

 

The number of years the client smoked is essential for calculating smoking pack years.
 


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

Demonstrating signs of early dementia involves more than just walking aimlessly and staring blankly. It includes memory loss, difficulty with complex tasks, and changes in personality or behavior.

Choice B rationale

Appearing confused and depressed is a subjective interpretation and does not accurately describe the observed behavior. Documentation should be objective and specific.

Choice C rationale

Ambulatory and disoriented to place is a partial description but does not capture the full extent of the observed behavior, including the blank expression.

Choice D rationale

Wandering behavior with flat affect accurately describes the observed behavior. It is specific and objective, noting both the physical action (wandering) and the emotional state (flat affect).

Correct Answer is B

Explanation

Choice A rationale

Placing a mark where the DP pulse is auscultated can help in future assessments but does not address the immediate need to locate the pulse.

Choice B rationale

Using a Doppler to assess an audible DP pulse is the correct answer. A Doppler ultrasound device is helpful when it is impossible or difficult to assess a pulse or when pulses are not palpable.

Choice C rationale

Assessing capillary refill distal to the DP pulse is important but should be done after attempting to locate the pulse with a Doppler.

Choice D rationale

Reviewing the client’s history for vascular disease is essential for understanding the underlying cause but does not address the immediate need to locate the pulse.

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