Author Question: A nurse working in an outpatient primary care clinic is caring for a client with asthma who has an ... (Read 129 times)

azncindy619 · **on:** Jun 25, 2018

A nurse working in an outpatient primary care clinic is caring for a client with asthma who has an 80 pack-year smoking history. When assessing the client's current use of nicotine, which question is most appropriate?

A) Have you tried a nicotine patch for quitting smoking?
B) Do you smoke cigarettes with filters or without?
C) Do you smoke upon waking?
D) Tell me about any attempts you've made to quit using nicotine.

Question 2

A nurse is caring for a client who smokes cigarettes and asks the nurse about nicotine replacement therapy (NRT). Which statement regarding this product is appropriate for the nurse to include in the teaching session?

A) Over-the-counter (OTC) NRTs include transdermal patches, gums, nicotine inhalers, and nasal sprays.
B) NRT helps to relieve the psychological and physiological effects of nicotine withdrawal.
C) NRT does not address addictive behavior.
D) Combining the use of NRT and a smoking cessation program is no more effective than NRT use alone.

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

Answer to Question 1

Answer: D

Appropriate assessment questions should be open-ended and allow the client to elaborate on the answers. Tell me about any attempts you've made to quit using nicotine is the only open-ended phrase that is effective in assessing this client.

Answer to Question 2

Answer: C

Nicotine replacement therapy (NRT) does not address addictive behavior. NRT helps to relieve some physiological, not psychological, effects of nicotine withdrawal. Over-the-counter (OTC) NRTs include transdermal patches and gums. Nicotine inhalers and nasal sprays are available by prescription only. Combining the use of NRT and a smoking cessation program is more effective than the use of NRT alone.