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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale:

A BUN level of 15 mg/dL is within a normal range.

Choice B rationale:

A potassium level of 3.8 mEq/L is within a normal range.

Choice C rationale:

Dizziness upon standing could indicate orthostatic hypotension, which could be a concern following administration of a diuretic like furosemide.

Choice D rationale:

Difficulty hearing is not typically associated with furosemide administration.

A. Increased pain relief B. Increased respiratory rate C. Decreased blood pressure D. Decreased nausea

Correct Answer is B

Explanation

Choice A rationale:

Increased pain relief is not a therapeutic effect of naloxone, but rather an adverse effect of morphine. Naloxone would reduce the analgesic effect of morphine and increase the pain sensation in the client.

Choice B rationale:

Naloxone is an opioid antagonist that reverses the effects of opioids, such as morphine, on the central nervous system. One of the main adverse effects of opioids is respiratory depression, which can lead to hypoxia and death. Naloxone restores normal breathing by blocking the opioid receptors in the brain and spinal cord. Therefore, a therapeutic effect of naloxone is increased respiratory rate.

Choice C rationale:

Decreased blood pressure is not a therapeutic effect of naloxone, but rather a possible side effect of morphine. Naloxone would not affect the blood pressure significantly, unless the client had severe hypotension due to opioid overdose.

Choice D rationale:

Decreased nausea is not a therapeutic effect of naloxone, but rather a possible side effect of morphine. Naloxone would not affect the gastrointestinal system, unless the client had severe nausea and vomiting due to opioid overdose.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?

Correct Answer is C

Explanation

A nurse is administering naloxone to a client who has developed an adverse action to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone?

Correct Answer is B

Explanation

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