Smoking History
State one question you would ask to determine a patient's smoking history.
What is do you smoke? age you started? packs per day now? for how long? etc.
In the aging adult, the chest cage commonly shows a(n) ___________ diameter.
Increased, round barrel shaped
Breathing ____________ hurts the normal function of your heart, and blood vessels, increasing the risk of heart attack.
What is secondhand smoke (SHS)?
According to the five A's, Assess means to:
What is: assess readiness for an interest in quitting?
The outward curvature of the thoracic spine is ________.
What is increased? This is called kyphosis
Nonsmokers exposed to secondhand smoke increase their risk of heart disease and their risk for _______.
What is stroke? Risk for both heart disease and stroke are increase 20-30%.
According to "Assist" using the 5 A's, helping with a cessation plan includes:
What is: medications? behavioral modification, exercise programs, referrals. picking a quit date, giving feedback and support?
The vital capacity in an aging adult is ___________
What is decreased? A decrease in elastic properties lessen lung tendency to collapse and recoil thus increasing small airway closure which leads to decreased vital capacity. Vital capacity refers to the maximum amt of air that one can expel from the lungs after filling the lungs to maximum capacity.
There is __ ______ ______ of second hand smoke for nonsmokers, pregnant women, babies, or children.
What is no safe level? if exposed pregnant women can increase the risk of low birth weight infants and SIDS
Babies and children are at increased risk for multiple health issues.
When obtaining a smoking history, the nurse should not:
What is admonishing the patient for smoking? Most people already know they need to quit
The elderly have a __________ surface area for gas exchange.
What is decreased? This is due to gradual loss of alveolar septa and a decreased number of alveoli. Lungs become less ventilated
Two ways to help yourself or your family regarding secondhand smoke exposure include:
Don't allow anyone to smoke near you or your children, Don't allow anyone to smoke in the home or car with you or your children - even with the window rolled down, make sure daycare and school are tobacco-free, don't go to a restaurant, mall, public place allowing smoking, talk to your teenagers about these methods
When Asking a patient about tobacco use, it is important to:
Ask about his/her tobacco use at every visit and record the person's response.
Histologic changes in the older adult causes an _________ risk of post operative complications.
What is increased? The elderly have an increased risk for postoperative atelectasis and infection. This is due to a decreased ability to cough, loss of protective airway reflexes, and increased secretions.
Secondhand smoke is dangerous for children. It increases the risk for _______ and _________ infections.
What is ear and chest? examples; URI LRI, otitis media, hearing loss, asthma.
Other health risks: dental caries, metabolic syndrome, ADHD, behavioral disorders, learning disabilities, school difficulties.