A nurse is promoting participation in The Great American Smokeout ...

[LaDunn]

A nurse is promoting participation in The Great American Smokeout for clients who are participating in a smoking cessation class.
 
  The nurse knows this event may motivate many individuals to stop smoking by promoting self-efficacy. At the conclusion of the class, which statement leads the nurse to expect a positive outcome for this particular client?
  A) I am afraid of getting lung cancer like my father.
  B) I think this time will be different.
  C) I am going to do the best that I can, so that I won't get lung cancer.
  D) I know that this time I will quit smoking permanently.

Question 2

The nurse is caring for an older adult client who is receiving intravenous fluids at 150 mL/hr. Upon assessment, the nurse notes crackles, shortness of breath, and jugular vein distention.
 
  Based on this data, which complication of IV fluid therapy does the nurse anticipate?
  A) Speed shock
  B) Fluid volume excess
  C) Pulmonary embolism
  D) An allergic reaction

[djpooyouma]

Answer to Question 1

Answer: D

Self-efficacy refers to the level of confidence an individual has about the ability to perform the activity. The client's intention to make a permanent change shows the highest level of determination and motivation. Stating that one will do the best one can or thinking that this attempt at quitting smoking will be different are not highly positive indicators of motivation. Stating fear of getting lung cancer does not address a positive activity.

Answer to Question 2

Answer: B

Fluid volume excess may occur if clients, especially the very young or old, receive IV fluid rapidly. The findings given in this scenario do not support the other options.

[LaDunn]

Thanks for the timely response, appreciate it

[nanny]

Wow, this really help