A young adult patient scheduled for an annual physical ...

[newyorker26]

A young adult patient scheduled for an annual physical examination arrives in the clinic smelling of cigarette smoke and carrying a pack of cigarettes. Which action will the nurse plan to take?
 
  a. Urge the patient to quit smoking as soon as possible.
  b. Avoid confronting the patient about smoking at this time.
  c. Wait for the patient to start the discussion about quitting smoking.
  d. Explain that the cold turkey method is most effective in stopping smoking.

Question 2

An alcohol-intoxicated patient with a penetrating wound to the abdomen is undergoing emergency surgery. What will the nurse expect the patient to need during the perioperative period?
 
  a. An increased dose of the general anesthetic medication
  b. Frequent monitoring for bleeding and respiratory complications
  c. Interventions to prevent withdrawal symptoms within a few hours
  d. Stimulation every hour to prevent prolonged postoperative sedation

[akemokai]

Answer to Question 1

ANS: A
Current national guidelines indicate that health care professionals should urge patients who smoke to quit smoking at every encounter. The other actions will not help decrease the patient's health risks related to smoking.

Answer to Question 2

ANS: B
Patients who are intoxicated at the time of surgery are at increased risk for problems with bleeding and respiratory complications such as aspiration. In an intoxicated patient, a lower dose of anesthesia is used because of the synergistic effect of the alcohol. Withdrawal is likely to occur later in the postoperative course because the medications used for anesthesia, sedation, and pain will delay withdrawal symptoms. The patient should be monitored frequently for oversedation but does not need to be stimulated.

[newyorker26]

Thank you

[akemokai]

No problemo