A client with a history of myocardial infarctions tells the nurse ...

[MirandaLo]

A client with a history of myocardial infarctions tells the nurse that he has been smoking for 35 years and it does not matter now if he stops. The best response by the nurse would be:
 
  1. It will reduce your risk of lung cancer..
   2. Your risk of continued coronary heart disease will decrease by half when you stop..
   3. It will decrease any complications you might develop..
   4. It will enhance the effects of your medications..

Question 2

The nurse is planning care for a family with 3 children, one of whom is diagnosed with cerebral palsy. The child is being cared for in the home and is on a home ventilator.
 
  Which of the following would the nurse include in the plan for this family? 1. Meals-on-Wheels
   2. Respite care
   3. Food stamps
   4. Psychological counseling

[jaymee143]

Answer to Question 1

2. Your risk of continued coronary heart disease will decrease by half when you stop..

Rationale:
Smoking cessation reduces the risk for coronary heart disease by 50 no matter how long the person has smoked. It will reduce lung cancer, decrease complications, and possibly enhance medication effects, but the primary focus for this client is the effect on coronary heart disease.

Answer to Question 2

2. Respite care

Rationale:
The family members will need breaks from caring for the child in order to provide time for themselves and the other children. Meals-on-Wheels is a service intended for those who are shut-ins. There is no evidence that the family is financially challenged and needs food stamps. Counseling is an option if and when the family shows signs of ineffective coping, which respite care is designed to help prevent.