A 16-year-old client reports smoking cigarettes and says they often replace meals with chips and soda. Vital signs: blood pressure 114/72 mm Hg, heart rate 88/min, respiratory rate 16/min, temperature 98.6°F (37°C). The nurse should reinforce which information to promote healthier choices?
- Combine quitting tobacco with healthier snack choices, such as water and nutrient-dense foods, to support energy and growth (correct answer)
- Use nicotine products only during school hours to reduce addiction
- Skip breakfast to reduce cravings for cigarettes
- Switch to "light" cigarettes because they are not harmful
Explanation: This question tests high-risk behavior education for adolescent tobacco and nutrition. The primary behavior risk is smoking and meal replacement with junk food, which is a priority for energy and growth support. The correct answer provides the most effective education by linking cessation to healthy eating. Option B is addictive; C is harmful; D is false. Effective client education in high-risk scenarios involves goal setting. It also includes follow-up. A strategy for prioritizing education topics is to combine related risks like smoking and diet based on daily habits.