The client has smoked a pack of cigarettes per day for 20 years. ...

[tingc95]

The client has smoked a pack of cigarettes per day for 20 years. The client also takes oral contraceptives. In implementing a teaching plan, what is the most important information for the nurse to include?
 
  1. You are at a greater risk for emphysema than are nonsmokers.
  2. You are at a greater risk for developing diabetes than are smokers who do not use birth control pills.
  3. You are at a greater risk for a heart attack than are nonsmokers.
  4. The nicotine will decrease the effectiveness of your birth control pills.

Question 2

The client tells the nurse that her 12-year-old child asks to use her nail polish remover several times a day. When her friends come to visit, this seems to occur more frequently. Which response by the nurse is the most appropriate?
 
  1. Your daughter might be 'huffing'; that is really scary.
  2. Your daughter might be 'huffing,' or inhaling the remover.
  3. Your daughter might be 'huffing,' or drinking small amounts of the remover.
  4. Your daughter might be 'huffing,' or rubbing the remover on her skin.

[ynlevi]

Answer to Question 1

Correct Answer: 3
Rationale 1: Smokers are at greater risk for emphysema, but this has nothing do with the client's use of oral contraceptives.
Rationale 2: There is no evidence to support a correlation between diabetes, smoking, and oral contraceptives.
Rationale 3: Cardiovascular effects can be particularly serious in clients taking oral contraceptives if they also smoke. The risk of a fatal heart attack is five times greater in smokers who also use oral contraceptives than in nonsmokers.
Rationale 4: There is no evidence to support that nicotine decreases the effectiveness of oral contraceptives.
Global Rationale: Cardiovascular effects can be particularly serious in clients taking oral contraceptives if they also smoke. The risk of a fatal heart attack is five times greater in smokers who also use oral contraceptives than in nonsmokers. Smokers are at greater risk for emphysema, but this has nothing do with the client's use of oral contraceptives. There is no evidence to support a correlation between diabetes, smoking, and oral contraceptives. There is no evidence to support that nicotine decreases the effectiveness of oral contraceptives.

Answer to Question 2

Correct Answer: 2
Rationale 1: Telling the mother that huffing is scary does not give her much information and is an inappropriate response.
Rationale 2: Inhaling volatile chemicals, known as huffing, is most prevalent in the 10-to-12-year-old group. Virtually any organic compound can be huffed, including nail polish remover, spray paint, household glue, and gasoline.
Rationale 3: Huffing involves inhaling volatile chemicals, not drinking them.
Rationale 4: Huffing involves inhaling volatile chemicals, not rubbing them on the skin.
Global Rationale: Inhaling volatile chemicals, known as huffing, is most prevalent in the 10-to-12-year-old group. Virtually any organic compound can be huffed, including nail polish remover, spray paint, household glue, and gasoline. Telling the mother that huffing is scary does not give her much information and is an inappropriate response. Huffing involves inhaling volatile chemicals, not drinking them or rubbing them into the skin.

[tingc95]

Thanks

[ynlevi]

Welcome