A client who wants to quit smoking has a new prescription for varenicline [Chantix]. The nurse will instruct the client to notify the provider immediately with which of the following?
Nicotine craving or withdrawal
Headache and nausea
Dry mouth or constipation
Mood swings, depression, or suicidal ideation
The Correct Answer is D
A. Nicotine cravings or withdrawal are expected and do not require immediate notification of the provider.
B. Headache and nausea are common side effects but do not require immediate notification unless severe.
C. Dry mouth or constipation can be side effects but are not typically urgent concerns.
D. Varenicline has been associated with serious neuropsychiatric effects, including mood swings, depression, and suicidal ideation. These symptoms require immediate medical attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While dabigatran has limited options for reversal, educating the client about not abruptly discontinuing the medication is more critical to prevent thrombotic events.
B. Blood in the urine and stool is not normal and would indicate a possible complication, not a normal effect.
C. Abrupt discontinuation of dabigatran can lead to an increased risk of thromboembolism. It is crucial to educate the client about the importance of maintaining consistent use of the medication.
D. Dabigatran does not have significant food interactions that would be the priority concern over the risk of abrupt discontinuation.
Correct Answer is D
Explanation
A. Hydralazine (Apresoline) is an antihypertensive medication and is not treated with protamine sulfate.
B. Diphenhydramine (Benadryl) is an antihistamine, and protamine sulfate is not used for its overdose.
C. Coumadin (Warfarin) is an anticoagulant, but protamine sulfate specifically reverses heparin, not warfarin.
D. Protamine sulfate is an antidote used to reverse the effects of heparin, a blood thinner.
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