Author Question: A 70-year-old client has been a regular cigarette smoker since late teens and has made several ... (Read 86 times)

Mr.Thesaxman · **on:** Jul 11, 2018

A 70-year-old client has been a regular cigarette smoker since late teens and has made several attempts to quit over the years. When the nurse encourages the client to again try to quit, the client responds,

At this point in my life, I think it's probably too late. How should the nurse best respond to the client's statement?

A) You'll be able to avoid having a future heart attack if you quit smoking now.
B) Three months after your quit, you'll have the same risk of heart disease as a lifetime nonsmoker.
C) In a way that's true, but you would feel much better about yourself if you managed to quit.
D) Actually, you'll start to enjoy some health benefits almost as soon as you quit.

Question 2

A nurse who works on a geriatric long-term care unit is aware that many of the older adult clients on the unit have a documented history of orthostatic hypotension. What measure should the nurse prioritize in order to ensure the safety of such clients?

A) Mobilize clients within 2 hours of eating a meal.
B) Have clients take several deep breaths before standing to their feet.
C) Have clients sit on the edge of their beds for a minute or two before ambulating.
D) Encourage clients to use a bedpan or incontinence brief to prevent falls while ambulating to the bathroom.

anoriega3 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: D
Benefits of smoking cessation exist at any age. Complete elimination of smoking-related health threats does not disappear after only 3 months, however. Smoking cessation is not a guarantee against future MI.

Answer to Question 2

Ans: C
Sitting at the edge of the bed before standing can significantly reduce the risk of falls in individuals with orthostatic hypotension. It is inappropriate to have clients use bedpans or briefs for the sole reason of preventing falls. Mobilizing after meals and deep breathing do not appreciably address orthostatic hypotension.