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A nurse is providing teaching about varenicline to a client who is in a smoking cessation program. Which of the following statements should the nurse make?

"Take this medication for the full course of 30 days and do not repeat the course."

"Plan to start taking this medication 1 week before you stop smoking."

"This medication can cause drowsiness."

"Do not eat grapefruit while taking this medication."

Answer and Explanation

The Correct Answer is B

Choice A rationale:

The recommended course of varenicline is longer than 30 days.

Choice B rationale:

Varenicline should be started 1 week before the client's quit date to allow the medication to reach effective levels.

Choice C rationale:

Drowsiness is not a common side effect of varenicline.

Choice D rationale:

Grapefruit interactions are not typically associated with varenicline.

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Correct Answer is B

Explanation

Choice A rationale:

Phenytoin should be administered slowly to avoid adverse effects. Infusing 800 mg over 5 minutes is too rapid and can lead to cardiovascular complications.

Choice B rationale:

Rationale: After administering phenytoin via IV, it's important to flush the IV line with normal saline (0.9% sodium chloride) to ensure the medication is fully delivered to the client and to prevent any residual medication from precipitating in the IV line.

Choice C rationale:

Flushing with heparin is not standard practice for administering phenytoin.

Choice D rationale:

Phenytoin should be administered in normal saline, not in D5W (dextrose 5% in water), to avoid precipitation.

A. "This medication might cause hypoglycemia." B. "Place this medication under your child's tongue." C. "This medication might cause ringing in your child's ears," D. "Measure your child's height monthly while taking this medication."

Correct Answer is A

Explanation

Choice A rationale:

Somatropin can affect glucose metabolism and may lead to hypoglycemia. Parents should be aware of this potential side effect and monitor their child's blood sugar levels.

Choice B rationale:

Somatropin is usually administered via injection, not under the tongue.

Choice C rationale:

Ringing in the ears is not a common side effect of somatropin.

Choice D rationale:

Monitoring height monthly is important, but explaining the potential for hypoglycemia is more relevant to the immediate safety of the child.

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A nurse is providing teaching about varenicline to a client who is in a smoking cessation program. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer 800 mg of phenytoin via IV infusion to a client who is experiencing status epilepticus. Which of the following actions should the nurse take when administering the medication?

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