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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. Recent over-the-counter infection cures. B. Number of indoor cats at home. C. Nontender firm lymph nodes. D. Amount of daily caffeine consumption.

Correct Answer is C

Explanation

Choice A rationale

Recent over-the-counter infection cures are less relevant compared to the physical characteristics of the lymph nodes when assessing for potential malignancy.

Choice B rationale

The number of indoor cats at home is not directly related to the assessment of enlarged lymph nodes in the axilla.

Choice C rationale

Nontender firm lymph nodes are a significant finding that may indicate a more serious underlying condition, such as malignancy. This information is crucial for the healthcare provider to determine the next steps in diagnosis and treatment.

Choice D rationale

The amount of daily caffeine consumption is not relevant to the assessment of enlarged lymph nodes in the axilla

A. Audible thud without pain. B. Sharp, severe pain. C. Rebound tenderness. D. Rigidity and firmness.

Correct Answer is B

Explanation

Choice A rationale

An audible thud without pain is a normal finding when percussing the costovertebral angle (CVA) in a healthy individual. This indicates that there is no inflammation or infection in the kidneys or surrounding tissues.

Choice B rationale

Sharp, severe pain upon percussion of the CVA is a classic sign of pyelonephritis. This pain is due to the inflammation and infection of the kidney, which causes tenderness in the area.

Choice C rationale

Rebound tenderness is typically associated with peritoneal irritation, such as in cases of appendicitis or peritonitis. It is not a common finding in pyelonephritis.

Choice D rationale

Rigidity and firmness are more indicative of muscle spasms or guarding, which can occur in conditions like peritonitis or severe abdominal pain, but not specifically in pyelonephritis.

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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 B

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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The nurse is examining a female client who states she has no complaints, so has not had a physical examination for over 5 years.The nurse palpates enlarged lymph nodes in the axilla. Which finding is most important for the nurse to describe when reporting to the healthcare provider?

Correct Answer is C

Explanation

The nurse is performing an admission assessment for a client with pyelonephritis who has urgency and burning while urinating. Which finding indicates an expected response when the nurse percusses the costovertebral angle?

Correct Answer is B

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.