A nurse teaches a client who is prescribed nicotine replacement therapy. Which statement would the nurse include in this client's teaching?

Correct Answer: C

Rationale: The correct answer is C: Smoking while taking this medication will increase your risk of a stroke. This statement is important because nicotine replacement therapy aims to help the client quit smoking, and smoking while on this therapy can lead to nicotine overdose, increasing the risk of adverse effects like stroke. Choice A is incorrect as it does not directly relate to the client's nicotine replacement therapy. Choice B is incorrect as it pertains to orthostatic hypotension, not nicotine replacement therapy. Choice D is incorrect as it addresses the consequences of abruptly stopping the medication, not the risks associated with smoking while on it.

Correct Answer: A

Rationale: The correct answer is A: Ask the spouse to explain the fear of visiting in further detail. By asking the spouse to explain their fear, the nurse can address and alleviate specific concerns, providing tailored support. This approach promotes open communication and understanding, which may help the spouse feel more comfortable visiting. B: Informing the spouse about precautions may not address the underlying fear and could come across as dismissive. C: Showing how to follow precautions does not directly address the spouse's fear and may not be sufficient to alleviate concerns. D: Telling the spouse they have already been exposed may not address their fear and could potentially increase anxiety.

Correct Answer: A

Rationale: The correct answer is A. Enteral feedings bypass the oral route, allowing the suture line to heal without strain. B (meticulous mouth care) is important but not directly related to nutrition. C (gradual advancement of the diet) occurs later. D (reassurance) addresses psychological concerns but not nutritional needs.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) A 51-year-old client with asthma complaining of shortness of breath (SOB) after using a bronchodilator inhaler. This client should be assessed first because sudden shortness of breath in an asthmatic patient could be a sign of impending respiratory distress, requiring immediate intervention. Option A, the 68-year-old on a ventilator needing a sputum specimen, can be prioritized after addressing the acute respiratory distress of the asthma patient. Option B, the COPD patient with a pulse oximetry reading of 90%, requires monitoring and intervention but is not currently experiencing acute distress. Option C, the client with pneumonia needing IV antibiotics, is important but not as urgent as the asthma patient with acute shortness of breath. This educational context emphasizes the importance of prioritizing patient care based on the urgency of the situation. Recognizing and responding promptly to acute changes in respiratory status is crucial in preventing respiratory compromise and potential deterioration in patients with respiratory conditions.

Correct Answer: C

Rationale: A tracheostomy tube allows for more comfort and mobility compared to an endotracheal tube, making it preferable for long-term management of an upper airway obstruction. The ability to speak, eat, and move more freely with a tracheostomy tube can significantly improve the quality of life for the patient.