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."
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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Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Radiation therapy is not typically the primary method of treatment for melanoma. Surgical excision and other therapies are often utilized.
Choice B rationale:
Metastasis in melanoma generally occurs from the outer layers of the skin to deeper levels and eventually to other parts of the body.
Choice C rationale:
Specific genetic mutations, such as mutations in the BRAF gene, are associated with an increased risk of developing melanoma.
Choice D rationale: Melanoma is a highly metastatic form of skin cancer that can spread quickly to other parts of the body. Early diagnosis and treatment are crucial to improve outcomes.

Correct Answer is B
Explanation
Choice A rationale:
Increased thirst is a common manifestation during the dying process due to dehydration and reduced fluid intake.
Choice B rationale:
Decreased secretions can occur as the body's systems gradually shut down during the dying process.
Choice C rationale:
Flushing of the extremities, also known as mottling, can occur due to poor circulation as the body's systems shut down.
Choice D rationale:
Periods of apnea or irregular breathing patterns can occur as the body's respiratory system becomes less effective during the dying process.
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