A male client tells the practical nurse (PN) that he is afraid of getting cancer so he plans to quit smoking cigarettes by switching to a smokeless tobacco product. How should the PN respond?

Remind the client that he is likely to gain weight when attempting to stop smoking.

Provide information to the client about risks associated with smokeless tobacco.

Explain to the client that obesity is a more significant health risk than smoking.

Encourage the client to continue with this plan to reduce his risk for cancer.

Answer and Explanation

The Correct Answer is B

Smokeless tobacco, such as chewing tobacco or snuff, still contains harmful substances, including nicotine and various chemicals. It is associated with several health risks, including an increased risk of oral, esophageal, and pancreatic cancers, as well as gum disease, tooth loss, and nicotine addiction.
Incorrect:

A. By providing this information, the nurse can help the client make an informed decision about their smoking cessation plan. It is crucial to emphasize that quitting tobacco altogether is the best approach to reduce the risk of cancer and improve overall health.
C. The nurse should not encourage the client to continue with the plan to switch to smokeless tobacco as a means of reducing the risk for cancer. Instead, the focus should be on supporting the client's efforts to quit tobacco entirely and providing appropriate resources and interventions to facilitate smoking cessation.
D. Addressing the concern about weight gain when quitting smoking is also important, but it should be done in the context of promoting healthy lifestyle changes and offering strategies to manage weight during the smoking cessation process.

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Correct Answer is A

Explanation

Acne is a common skin condition that often requires professional evaluation and treatment by a dermatologist. While the other options may be part of a comprehensive acne management plan, they alone may not be sufficient to address the client's specific needs. The recommendation to refer the client to a dermatologist allows for a more comprehensive assessment and the implementation of appropriate long-term therapy tailored to the individual's condition. The dermatologist can prescribe medications, provide personalized skincare recommendations, and monitor the client's progress over time. This ensures that the client receives the most effective and appropriate treatment for their acne.

A. If my fasting blood sugar is less than 100 next time, I can go back to my usual eating habits. B. Making these changes will also help me avoid other chronic health conditions. C. I can never eat sugar again. D. If I make the changes we talked about, I will not get type 2 diabetes. E. If I have symptoms like increased thirst and urination, I should come in and get my blood sugar checked.

Correct Answer is ["B","E"]

Explanation

Correct:

B- Making these changes will also help me avoid other chronic health conditions. This statement indicates an understanding because the client recognizes that the lifestyle changes discussed will not only help prevent or manage diabetes but also have a positive impact on other chronic health conditions such as cardiovascular disease and obesity.

E- If I have symptoms like increased thirst and urination, I should come in and get my blood sugar checked. This statement indicates an understanding because the client acknowledges the importance of monitoring their blood sugar levels if they experience symptoms commonly associated with diabetes, such as increased thirst and urination.

Incorrect choices:

A- If my fasting blood sugar is less than 100 next time, I can go back to my usual eating habits. This statement indicates a misunderstanding. It suggests that as long as the client's fasting blood sugar is below 100, they can resume their previous eating habits, which is not accurate. It's important to emphasize that long-term lifestyle changes are necessary, regardless of individual blood sugar readings.

C- I can never eat sugar again. This statement indicates a misunderstanding. While it's important to minimize the consumption of sugary foods and beverages, it's not necessary to completely eliminate all sugar from the diet. Moderation and mindful consumption are key.

D- If I make the changes we talked about, I will not get type 2 diabetes. This statement indicates a misunderstanding. While making positive lifestyle changes can significantly reduce the risk of developing type 2 diabetes, it does not guarantee complete prevention. Genetic and other factors can still influence an individual's susceptibility to the condition.

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A male client tells the practical nurse (PN) that he is afraid of getting cancer so he plans to quit smoking cigarettes by switching to a smokeless tobacco product. How should the PN respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 16-year-old client is asking the practical nurse (PN) what can be done about acne. Which recommendation should the PN provide?

Correct Answer is A

Explanation

Correct Answer is ["B","E"]

Explanation

A client with diabetic ketoacidosis (DKA) is receiving regular insulin. Which action should the practical nurse (PN) implement to evaluate the effectiveness of the insulin dosage?

Before administering an antibiotic that can cause nephrotoxicity, which laboratory value is most important for the practical nurse (PN) to review?

A client who had orthopedic surgery three days ago verbalizes difficulty in sleeping. Which initial intervention is best for the practical nurse (PN) to implement?

The practical nurse (PN) is providing care for a client who is receiving an aminoglycoside to treat a bacterial infection. To assess for signs of ototoxicity, which action should the PN take?

The parents of a one-year-old child with the diagnosis of hypospadias informed the practical nurse (PN) that they plan to delay corrective surgery to see if the child will outgrow the problem. Which information should the PN provide to these parents?

The practical nurse (PN) is assigning tasks to an unlicensed assistive personnel (UAP) who is giving basic care to a group of residents in a long-term care facility. Which client's task should be completed by a PN, rather than the UAP?