Author Question: A client who smokes one pack of cigarettes per day tells the nurse that she will need to be taken ... (Read 112 times)

sabina · **on:** Jun 25, 2018

A client who smokes one pack of cigarettes per day tells the nurse that she will need to be taken outside to have a cigarette while recovering from surgery. Which of the following can the nurse respond to this client?

1. That can be arranged.
2. You really should stop smoking before the surgery.
3. Your physician will prescribe medication to help reduce the nicotine cravings.
4. I can assign someone who will be responsible for transporting you to the smoking section.

Question 2

A client needs emergency surgery after sustaining injuries from a natural gas explosion. The client is not attended by any family member and the surgery cannot wait.

Which of the following can be done to ensure the best and safest care is provided to the client?
1. Hold the surgery until a family member arrives to the hospital to provide consent.
2. Contact a pastor to pray with the client before the surgery.
3. Instruct the client in postoperative exercises while waiting for anesthesia to take effect.
4. Have a member of the nursing staff try to reach the family at home to provide consent for the surgery.

jlaineee · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

3
The client who smokes will have concerns about nicotine withdrawal. The nurse should respond that medications are available and can be prescribed to help the client through this difficult time. The nurse should not support the client's smoking by saying that being taken out of doors can be arranged or that someone will be assigned to transport the client to the smoking section. The response you really should stop smoking before the surgery does not address the client's concern.

Answer to Question 2

4
In the case of an unaccompanied trauma client, the team should make every effort to reach the family; however, preservation of life and function is a priority. A member of the nursing staff can attempt to reach the family for consent, but the surgery should not be delayed until a family member arrives to provide consent. Since the surgery takes precedence, the client's instruction, psychosocial, and spiritual needs will need to be addressed afterwards.