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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. Benign variation. B. Cardiac enlargement. C. Cardiac atrophy. D. Expected finding.

Correct Answer is B

Explanation

ChoiceArationale

Abenignvariationwouldnottypicallypresentwithapatternofdullnessextendingfromthe 5th left intercostal space to the 2nd left intercostal space at the sternal border. This pattern suggests an abnormality rather than a benign variation.

ChoiceBrationale

Cardiacenlargementisindicatedbyanareaofdullnessextendingfromthe5thleftintercostal space to the 2nd left intercostal space at the sternal border. This finding suggests an enlarged heart, which can be due to conditions such as cardiomegaly or left ventricular hypertrophy.

ChoiceCrationale

Cardiacatrophyrefersto adecreaseinthesizeormassoftheheartmuscle,resultingina smaller than normal heart. The described findings indicate dullness extending upward, suggesting an enlargement rather than atrophy of the heart.

ChoiceDrationale

Anexpectedfindingwouldnottypicallypresentwiththedescribedpatternofdullness.The normal area of cardiac dullness is more limited and does not extend as described.

A. Appropriate weight for height, good general health. B. Extreme obesity, at risk for multiple co-morbidities. C. Undernutrition, at risk for malnutrition. D. Obese, serious threat to well-being.

Correct Answer is D

Explanation

Choice A rationale

A BMI of 32 kg/m² is not considered an appropriate weight for height. According to the American Heart Association, a BMI between 18.5 and 24.9 kg/m² is considered normal weight. A BMI of 32 kg/m² falls into the obese category, which indicates excess body fat and potential health risks.

Choice B rationale

While a BMI of 32 kg/m² is classified as obese, it is not categorized as extreme obesity. Extreme obesity is typically defined as a BMI of 40 kg/m² or higher. Therefore, this choice is incorrect.

Choice C rationale

A BMI of 32 kg/m² does not indicate undernutrition or malnutrition. Undernutrition is associated with a BMI of less than 18.5 kg/m². This choice is incorrect as the BMI in question indicates obesity, not undernutrition.

Choice D rationale

A BMI of 32 kg/m² is classified as obese. Obesity is a serious threat to well-being as it increases the risk of various health conditions, including heart disease, diabetes, hypertension, and certain cancers. Therefore, this choice is correct.

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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 B

Explanation

ChoiceArationale

ChoiceBrationale

ChoiceCrationale

ChoiceDrationale

Correct Answer is D

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 percussing the borders of the heart, the nurse picks up an area of dullness beginning at the 5th left intercostal space and moving upward to the 2nd left intercostal space at the sternal border. What do these findings indicate?

Correct Answer is B

Explanation

ChoiceArationale

ChoiceBrationale

ChoiceCrationale

ChoiceDrationale

The nurse is assessing a young adult female who is 5 feet 5 inches (165 cm) and has a body mass index (BMI) score of 32 kg/m². Based on this BMI, what should the nurse deduce about this client’s general health?

Correct Answer is D

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.