A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include?
Administer 2 sprays of nicotine nasal spray in each nostril with each dose.
Change the nicotine patch every other day.
Chew nicotine gum for 10 min before spitting it out.
Do not drink beverages while sucking on a nicotine lozenge.
The Correct Answer is A
Choice A rationale:
Nicotine nasal spray delivers a rapid dose of nicotine to the bloodstream, which can help reduce cravings and withdrawal symptoms. The recommended dose is 1 to 2 sprays in each nostril every hour, up to 40 sprays per day. The client should not sniff, swallow, or inhale while spraying, and should avoid contact with the eyes and skin.
Choice B rationale:
The nicotine patch should be changed every 24 hours, not every other day. The patch provides a steady dose of nicotine through the skin, which can help prevent cravings and withdrawal symptoms. The client should apply the patch to a clean, dry, and hairless area of the skin, and rotate the site of application daily.
Choice C rationale:
the nicotine gum should be chewed for about 30 minutes, not 10 minutes, before spitting it out. The gum releases nicotine into the mouth, which is then absorbed into the bloodstream through the mucous membranes. The client should chew the gum slowly until a peppery taste or tingling sensation occurs, then park it between the cheek and gum until the taste or sensation fades, then repeat the process.
Choice D rationale:
The client should avoid drinking beverages for 15 minutes before and during sucking on a nicotine lozenge, not just while sucking on it. The lozenge dissolves in the mouth and releases nicotine, which is then absorbed into the bloodstream through the mucous membranes. Drinking beverages can interfere with the absorption of nicotine and reduce the effectiveness of the lozenge.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Lithium carbonate should be taken with meals to minimize gastrointestinal upset.
Choice B rationale:
Lithium levels can be affected by sodium intake, so decreasing sodium intake can help prevent lithium toxicity.
Choice C rationale:
Tyramine is not typically restricted in clients taking lithium.
Choice D rationale:
Swelling of the feet is not a common adverse effect of lithium carbonate.
Correct Answer is C
Explanation
Choice A rationale:
Raloxifene is not used to treat urinary tract infections.
Choice B rationale:
Raloxifene is not used to treat deep-vein thrombosis.
Choice C rationale:
Raloxifene is a medication used to treat and prevent osteoporosis in postmenopausal women. It helps to prevent bone loss and reduce the risk of fractures.
Choice D rationale:
Raloxifene is not used to treat hypothyroidism; it's primarily focused on bone health.
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