Assessment of the Respiratory System ( Chapter 27) Nursing School Test Banks

Ignatavicius: Medical-Surgical Nursing, 8th Edition MULTIPLE CHOICE 1. A nurse obtains the health history of a client who is recently diagnosed with lung cancer and identifies that the client has a 60–pack-year smoking history. Which action is most important for the nurse to take when inter- viewing this client? a. Tell the client that he needs to quit smoking to stop further cancer development. b. Encourage the client to be completely honest about both tobacco and marijuana use. c. Maintain a nonjudgmental attitude to avoid causing the client to feel guilty. d. Avoid giving the client false hope regarding cancer treatment and prognosis. ANS: C Smoking history includes the use of cigarettes, cigars, pipe tobacco, marijuana, and other controlled sub- stances. Because the client may have guilt or denial about this habit, assume a nonjudgmental attitude during the interview. This will encourage the client to be honest about the exposure. Ask the client whether any of these substances are used now or were used in the past. Assess whether the client has passive exposure to smoke in the home or workplace. If the client smokes, ask for how long, how many packs per day, and whether he or she has quit smoking (and how long ago). Document the smoking history in pack-years (number of packs smoked daily multiplied by the number of years the client has smoked). Quitting smoking may not stop further cancer development. This statement would be giving the client false hope, which should be avoided, but is not as important as maintaining a nonjudgmental attitude. DIF: Applying/Application REF: 494 KEY: Patient-centered care| smoking cessation MSC: Integrated Process: Communication and Documentation NOT: Client Needs Category: Psychosocial Integrity 2. A nurse assesses a client after an open lung biopsy. Which assessment finding is matched with the correct