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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 C

Explanation

Choice A rationale

Jaundiced corneas indicate liver dysfunction or other serious conditions that require medical attention, but they do not require immediate intervention compared to cyanosis.

Choice B rationale


A flushed and diaphoretic face can indicate fever, heat exhaustion, or other conditions, but it is not as immediately life-threatening as cyanosis.

Choice C rationale

Cyanotic oral mucosa indicates a lack of oxygen in the blood, which is a medical emergency requiring immediate intervention.

Choice D rationale

Matted and crusted eyelids can indicate an eye infection or other conditions, but they do not require immediate intervention compared to cyanosis.

Correct Answer is C

Explanation

Choice A rationale

White blood cell count (WBC) is typically monitored to assess for signs of infection or inflammation. While it’s important to monitor WBC count in certain situations, such as suspected infection, melena itself is not directly indicative of an increased risk of infection.

Choice B rationale

Blood urea nitrogen (BUN) levels can be elevated in cases of gastrointestinal bleeding due to the breakdown of blood proteins in the gut. However, BUN is not the primary test to monitor in response to melena.

Choice C rationale

Hematocrit is the correct answer. Hematocrit levels are crucial to monitor in cases of melena because they provide information about the client’s red blood cell volume and can indicate the extent of blood loss.

Choice D rationale

Glucose levels are not directly related to melena. Monitoring glucose levels is essential for managing diabetes and other metabolic conditions but is not relevant to assessing the impact of gastrointestinal bleeding.

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