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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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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.

Correct Answer is C

Explanation

Choice A rationale

Working in a day care center may expose the client to minor injuries or infections, but it is not directly associated with widespread ecchymosis. Ecchymosis is more likely related to systemic issues rather than occupational hazards.


Choice B rationale

Adhering to a gluten-free diet is typically related to managing celiac disease or gluten intolerance, which primarily affects the gastrointestinal tract. Ecchymosis is not a typical manifestation of gluten intolerance.

Choice C rationale

Taking an oral anticoagulant medication increases the risk of bleeding, which can manifest as ecchymosis (bruising) on the skin. Anticoagulants such as warfarin or aspirin can interfere with the blood’s ability to clot, leading to bleeding into the skin and subsequent ecchymosis.

Choice D rationale

Dental surgery may involve procedures that could cause minor trauma to the oral tissues, leading to localized bruising around the mouth or jaw area. However, this localized bruising would typically not explain the presence of ecchymosis observed on the trunk and extremities.

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