An older adult with chronic obstructive pulmonary disease (COPD) ...

[sammy]

An older adult with chronic obstructive pulmonary disease (COPD) asks why he should quit smoking now. What response by the nurse is best?
 
  a. It will keep your disease from getting worse.
  b. There are many benefits to quitting even now.
  c. It will decrease the risk of getting cancer too.
  d. You're right; there really isn't a reason to quit.

Question 2

When initially planning care for the older adult patient who is prescribed clonidine patches as part of a smoking cessation program, the nurse
 
  a. assesses the patient for any skin disorders on the upper arms and back.
  b. determines how many cigarettes or cigars the patient smokes per day.
  c. asks if the patient is currently taking any antihypertensive medications.
  d. educates the patient to the possible side effects of clonidine therapy.

[milbourne11]

Answer to Question 1

B
There are many benefits to smoking cessation including reduction in the number of respiratory infections, improvement in the function of the mucociliary clearance of the lungs, decreased coughing and dyspnea, increased appetite, and decreased sputum production. This is a more comprehensive answer than keeping the disease from worsening and lowering the chance of get-ting cancer.

Answer to Question 2

C
Clonidine is an antihypertensive, so knowledge of the patient's medication history is vital to avoid inducing hypotension. The other assessments are not related to patient safety.

[sammy]

Thanks for the timely response, appreciate it

[diana chang]

Excellent