When family members express their concern about their father's recent memory loss, which assessment should the nurse suggest?

Ask the client if he knows the year he married his wife.

Determine if client can recall what he ate for breakfast.

Instruct the client to follow a three-step task.

Tell the client to repeat a series of unrelated numbers.

Answer and Explanation

The Correct Answer is B

A) Ask the client if he knows the year he married his wife:
While this question may assess long-term memory, it relies on specific episodic memory of a past event. Assessing recent memory loss typically involves evaluating the ability to recall recent events or information.

B) Determine if the client can recall what he ate for breakfast:
Assessing the client's ability to recall recent events, such as what he ate for breakfast, can provide valuable information about recent memory function. This assessment is relevant to the family's concerns about recent memory loss.

C) Instruct the client to follow a three-step task:
Assessing the client's ability to follow a three-step task evaluates executive function and working memory but may not directly assess recent memory loss, which is the family's concern.

D) Tell the client to repeat a series of unrelated numbers:
Assessing the client's ability to repeat a series of unrelated numbers tests short-term memory but does not specifically address recent memory loss or the family's concerns about it.

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Correct Answer is ["C","D","E"]

Explanation

Answer: C. Age when the client started smoking.
Knowing when the client began smoking is essential for determining the total duration of smoking. This information allows the nurse to calculate how long the client has been exposed to tobacco, which is critical for assessing potential health risks associated with their smoking history.

D. Packs of cigarettes smoked per day.
This information is crucial as it directly contributes to the calculation of pack years. Understanding how many packs the client smokes each day helps quantify their level of tobacco exposure. For instance, smoking one pack per day for ten years results in ten pack years, while two packs per day over the same period would lead to twenty pack years.

E. Number of years the client smoked.
This detail is necessary to determine the total duration of the smoking habit. The total number of years smoked, combined with the daily pack consumption, provides a comprehensive view of the client's smoking history. It allows the nurse to assess the cumulative risk associated with long-term tobacco use, which is important for evaluating the client’s health and potential interventions.

Rationale for Options Not Selected:

A. Number of attempts to quit smoking.
While this information can provide insight into the client's motivation and efforts to quit, it is not relevant for calculating pack years. Pack years focus specifically on the amount and duration of smoking, rather than attempts to quit, which may be useful in assessing readiness for cessation interventions but does not factor into the calculation of exposure.

B. Client's current age.
Although the client's age can provide context regarding their smoking history, it is not necessary for the actual calculation of pack years. Instead, it is the age when the client started smoking, along with the total years smoked and the number of packs smoked per day, that are critical for this specific assessment. The current age is not needed to compute pack years directly.

Summary of Calculation:

To calculate pack years, use the formula:

Pack Years = (Number of packs smoked per day) × (Number of years smoked)

For example, if a client smoked 1 pack per day for 20 years, they would have 20 pack years. If they smoked 2 packs a day for the same period, that would equate to 40 pack years. This measurement is essential for understanding the health risks associated with smoking and guiding further assessment and intervention strategies.

A. Use a doppler ultrasonic stethoscope. B. Notify the healthcare provider. C. Apply warm blankets to both feet. D. Palpate pulse points with legs dependent.

Correct Answer is A

Explanation

When unable to palpate peripheral pulses, particularly the pedal pulses, using a Doppler ultrasonic stethoscope is an appropriate action to further assess circulation. The Doppler device uses sound waves to detect and amplify blood flow, allowing the nurse to locate pulses that may be difficult to palpate by traditional means. This assessment technique can provide valuable information about vascular status and potential circulation issues in the extremities.

B. Notify the healthcare provider:
Notifying the healthcare provider is not the initial action for the inability to palpate pedal pulses. The nurse should first attempt to assess the pulses using alternative methods, such as a Doppler device, before escalating the concern to the provider.

C. Apply warm blankets to both feet:
Applying warm blankets may be appropriate for clients with cold extremities due to peripheral vasoconstriction, but it does not directly address the issue of being unable to palpate pulses. Additionally, warmth alone may not improve circulation if there is an underlying vascular problem causing the absence of pulses.

D. Palpate pulse points with legs dependent:
Palpating pulse points with the legs dependent may facilitate blood flow to the lower extremities, potentially making pulses easier to palpate. However, if pulses are not palpable in the supine or seated position, it is unlikely that changing positions will significantly improve their detectability. Using a Doppler device would be a more appropriate next step in this situation.

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When family members express their concern about their father's recent memory loss, which assessment should the nurse suggest?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.

Correct Answer is ["C","D","E"]

Explanation

Summary of Calculation:

While performing a physical assessment, the nurse is unable to palpate the client's pedal pulses. Which action should the nurse take?

Correct Answer is A

Explanation

While assessing the legs of an adult client, the nurse observes leathery-looking skin. The client reports aching, tired legs that swell if standing for long periods of time. To screen for venous insufficiency, the nurse should ask the client if they have experienced which subjective finding?

When family members express their concern about their father's recent memory loss, which assessment should the nurse suggest?

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