A nurse is teaching a client about smoking cessation. Which of the following client statements should the nurse identify as an understanding of the teaching?
"If I stop abruptly, I can't use a nicotine replacement."
"After 6 months, my risk of heart disease is the same as that of a nonsmoker."
"I will set a specific date to stop smoking."
"I will use high-carbohydrate snacks as a substitute for cigarettes."
The Correct Answer is C
A. "If I stop abruptly, I can't use a nicotine replacement.": Nicotine replacement therapy can be used whether a client quits abruptly (cold turkey) or gradually. This statement reflects a misunderstanding of cessation strategies.
B. "After 6 months, my risk of heart disease is the same as that of a nonsmoker.": Risk of heart disease decreases after quitting smoking but does not equal that of a nonsmoker after only 6 months; it takes years for risk to approach baseline levels.
C. "I will set a specific date to stop smoking.": Establishing a concrete quit date is a key strategy in smoking cessation. It helps the client prepare mentally, set goals, and increase the likelihood of successful cessation.
D. "I will use high-carbohydrate snacks as a substitute for cigarettes.": Replacing cigarettes with high-calorie snacks can lead to weight gain. Healthier alternatives, such as sugar-free gum or low-calorie snacks, are recommended.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Metoprolol: Metoprolol is a beta-blocker used for hypertension or cardiac conditions. While it may affect blood pressure during the procedure, it is generally safe to continue and does not pose an immediate risk for colonoscopy.
B. Clopidogrel: Clopidogrel is an antiplatelet medication that increases the risk of bleeding. Because colonoscopy may involve biopsies or polypectomy, taking clopidogrel prior to the procedure significantly raises the risk of hemorrhage, making it the priority to report to the provider.
C. Metformin: Metformin is used to manage diabetes. It may require temporary discontinuation around procedures requiring contrast dye due to risk of lactic acidosis, but for a standard colonoscopy without contrast, it is less urgent than clopidogrel.
D. Digoxin: Digoxin is used for heart failure or arrhythmias. While monitoring for cardiac effects is important, digoxin does not pose an immediate risk for bleeding during colonoscopy and is not the priority to report.
Correct Answer is C
Explanation
A. Homan's sign: Homan’s sign is assessed by dorsiflexing the foot to check for calf pain and is used to evaluate for deep vein thrombosis. It is not relevant for diagnosing or assessing meningitis.
B. Trousseau's sign: Trousseau’s sign involves inflating a blood pressure cuff to elicit carpal spasm and is used to assess for hypocalcemia. It is unrelated to meningitis assessment.
C. Brudzinski's sign: Brudzinski’s sign is assessed by flexing the client’s neck; involuntary hip and knee flexion indicates meningeal irritation. This is a classic and important clinical sign in clients with meningitis.
D. Chvostek's sign: Chvostek’s sign is elicited by tapping the facial nerve to assess for hypocalcemia. It is not associated with meningitis assessment and is not relevant in this context.
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