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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.

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.

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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A. Apply warm blankets to both feet. B. Notify the healthcare provider. C. Use a doppler ultrasonic stethoscope. D. Palpate pulse points with legs dependent.

Correct Answer is C

Explanation

Choice A rationale

Applying warm blankets to both feet is not the appropriate action when unable to palpate pedal pulses. This action does not address the underlying issue of assessing blood flow.

Choice B rationale

Notifying the healthcare provider is premature without first attempting to locate the pulses using a Doppler ultrasonic stethoscope.

Choice C rationale

Using a Doppler ultrasonic stethoscope is the correct action. This device helps detect and amplify blood flow, allowing the nurse to assess the pulses even if they cannot be palpated manually.

Choice D rationale

Palpating pulse points with legs dependent is not the most effective method to locate non- palpable pulses. Using a Doppler ultrasonic stethoscope is more reliable.

A. Place the palm of the hand on the chest wall to feel vibrations while the client speaks. B. Looking at the client from the side, observe the size and shape of the chest wall. C. Use a stethoscope to listen to and compare breath sounds anteriorly and posteriorly. D. Use the fingertips to compress tissue over the lungs for evidence of a crackling sensation.

Correct Answer is A

Explanation

Choice A rationale

Placing the palm of the hand on the chest wall to feel vibrations while the client speaks is the correct method to assess tactile fremitus. Increased tactile fremitus can indicate consolidation, as seen in pneumonia.

Choice B rationale

Observing the size and shape of the chest wall does not assess tactile fremitus.

Choice C rationale

Using a stethoscope to listen to and compare breath sounds is not the method for assessing tactile fremitus.

Choice D rationale

Using the fingertips to compress tissue over the lungs for evidence of a crackling sensation is not the correct method for assessing tactile fremitus.

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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.

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Correct Answer is C

Explanation

Correct Answer is A

Explanation

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Take full exam for free 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.

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

Correct Answer is C

Explanation

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Correct Answer is A

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.