A nurse in a provider's office is reinforcing teaching about cigarette smoking with a client.Which of the following adverse effects should the nurse include in the teaching?
Decreased blood pressure
Bradycardia
Somnolence
Decreased hemoglobin
The Correct Answer is D
The correct answer is choice D. Decreased hemoglobin.
Choice A rationale:
Cigarette smoking typically causes an increase in blood pressure due to the nicotine’s stimulating effects on the cardiovascular system, not a decrease.
Choice B rationale:
Smoking is more likely to cause tachycardia (increased heart rate) rather than bradycardia (decreased heart rate) because nicotine stimulates the release of adrenaline.
Choice C rationale:
Somnolence (drowsiness) is not a common adverse effect of cigarette smoking. Smoking usually has a stimulating effect due to nicotine.
Choice D rationale:
Decreased hemoglobin can occur as a result of smoking because it can lead to chronic obstructive pulmonary disease (COPD) and other respiratory issues, which can impair oxygen transport in the blood. Additionally, smoking can cause carbon monoxide to bind with hemoglobin, reducing its oxygen-carrying capacity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
The correct answer is D. Muscle pain is a sign of rhabdomyolysis, a rare but serious condition that can occur with statin use and can lead to kidney failure. The nurse should instruct the client to report any muscle pain, weakness, or tenderness to the provider immediately.
Correct Answer is D
Explanation
Answer: D. Prothrombin time
Rationale: Prothrombin time is a measure of how long it takes the blood to clot, which is affected by warfarin, an anticoagulant medication that prevents blood clots from forming or growing larger.
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