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."

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. The correct order is

wipe off tops of insulin vials with alcohol sponge.
draw back amount of air into the syringe that equals total dose.
inject air equal to NPH dose into NPH vial. ...
air equal to regular dose into regular vial.
invert regular insulin bottle and withdraw regular insulin dose.
without adding more air into NPH vial, carefully withdraw NPH dose

B. Withdraw the regular insulin from the vial: This step should occur after injecting air into the regular insulin vial. The nurse should draw up the regular insulin before drawing up the NPH
insulin.

C. Inject air into the regular insulin vial: Inject air into the regular insulin vial is not thecorrect first step to avoid contamination of the clear insulin with cloudy insulin..
D. Withdraw the NPH insulin from the vial: This step should occur after withdrawing the regular insulin. The nurse should draw up the NPH insulin after drawing up the regular insulin to ensure the correct sequence and dosage.

A. Have another nurse verify the medication for the secondary infusion. B. Flush the IV site with sterile water prior to connecting the secondary infusion. C. Hang the secondary infusion higher than the primary IV infusion. D. Disconnect the primary IV infusion to connect the secondary infusion. E. None F. None

Correct Answer is C

Explanation

A.While medication verification is important, this is not specific to administering an intermittent IV bolus. It is standard practice for high-alert medications, not routine antibiotics.

B. Flushing the IV site with sterile water prior to connecting the secondary infusion is not standard practice. Normal saline is typically used to maintain patency, but it is not necessary before connecting the secondary infusion.
C.To administer a secondary infusion (e.g., antibiotic), the secondary bag must be hung higher than the primary infusion. This allows gravity to prioritize the secondary infusion through the Y-site.

D. Disconnecting the primary IV infusion to connect the secondary infusion is not correct. The secondary infusion should connect to the primary line without disrupting the ongoing infusion unless otherwise indicated.

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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?

Nursing Test Bank

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