The nurse is providing care to a client who admits to smoking 2 ...

[londonang]

The nurse is providing care to a client who admits to smoking 2 packs of per day for 34 years. The client also has a history of intermittent claudication, chronic bronchitis, and emphysema.
 
  After 6 weeks of smoking cessation the client reports, yelling at my spouse and flying off the handle. Which effects of cigarette smoking are associated with the data collected from the client?
  Select all that apply.
  A) Nicotine causes destruction of the alveoli.
  B) The release of epinephrine causes vasoconstriction.
  C) Dopaminergic processes are implicated in withdrawal symptoms.
  D) Tar causes the mucus production seen in chronic bronchitis.
  E) Tobacco use causes atherosclerosis.

Question 2

The nurse is conducting a health history for a client and wants to determine the client's alcohol use. What question from the nurse will provide the greatest amount of information?
 
  A) Are you a heavy drinker?
  B) How many alcoholic beverages do you drink each day?
  C) Is alcohol use a concern for you?
  D) Drinking doesn't cause any problems for you, does it?

[LP]

Answer to Question 1

Answer: B, C, D, E

Nicotine causes the release of epinephrine, which triggers vasoconstriction, exacerbating intermittent claudication. Tobacco use causes atherosclerosis, which is seen in intermittent claudication. Tar and other chemicals, not nicotine, cause the destruction of the alveoli seen in emphysema and the productive cough seen in chronic bronchitis.

Answer to Question 2

Answer: B

Open-ended questions will elicit the greatest amount of information. Asking closed questions that can be answered with a yes or no will limit the information obtained.