A nurse is providing teaching to a client who reports smoking 3 packs of cigarettes per day and has a prescription for nicotine gum. Which of the following instructions should the nurse include in the teaching?
"Do not chew more than 40 pieces of gum per day."
"Allow 9 months for the gum to achieve the therapeutic effect."
"Chew the gum slowly over 30 minutes."
"Drink a glass of water 5 minutes before chewing the gum."
The Correct Answer is C
A. This statement is incorrect. While it’s essential not to exceed the recommended dose, the
maximum daily limit for nicotine gum is 24 pieces, not 40. Using more than the recommended amount can lead to adverse effects
B. This information is not accurate. Nicotine gum is typically used for a shorter duration. The
treatment plan varies, but it’s essential to follow the recommended dosing and gradually reduce usage over time. The goal is to quit smoking successfully, not to use the gum for 9 months
C. This advice is correct. Nicotine gum is not used like ordinary chewing gum. You should chew it a few times and then “park” it between your cheek and the space below your teeth. The nicotine is absorbed mostly in your mouth. Chewing it slowly over 30 minutes allows for
effective absorption and helps control withdrawal symptoms
D. Drinking water before chewing nicotine gum is not a necessary instruction for its use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bradycardia: Amiodarone, an antiarrhythmic medication, can cause bradycardia as an adverse effect due to its negative chronotropic effects on the heart's electrical conduction system. Bradycardia is a common adverse effect of amiodarone and requires monitoring during therapy.
B. Fever: Fever is not a typical adverse effect of amiodarone. If a client develops a fever while taking amiodarone, other potential causes should be investigated.
C. Hypertension: Hypertension is not a typical adverse effect of amiodarone. Amiodarone is more commonly associated with bradycardia and hypotension.
D. Bradypnea: Bradypnea, or slow respiratory rate, is not a typical adverse effect of amiodarone.
Respiratory adverse effects of amiodarone are more commonly related to pulmonary toxicity, such as pulmonary fibrosis or pneumonitis.
Correct Answer is B
Explanation
A. Metformin is not a contraindication for receiving the shingles vaccine.
B. Methotrexate, an immunosuppressant medication, can interfere with the efficacy of live vaccines such as the shingles vaccine, and it is generally contraindicated to administer live vaccines to individuals taking immunosuppressants.
C. Esomeprazole, a proton pump inhibitor, is not a contraindication for receiving the shingles vaccine.
D. Estrogen is not a contraindication for receiving the shingles vaccine.
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