A client who wants to quit smoking has a new prescription for varenicline [Chantix]. The nurse will instruct the client to notify the provider immediately with which of the following?
Nicotine craving or withdrawal
Headache and nausea
Dry mouth or constipation
Mood swings, depression, or suicidal ideation
The Correct Answer is D
A. Nicotine cravings or withdrawal are expected and do not require immediate notification of the provider.
B. Headache and nausea are common side effects but do not require immediate notification unless severe.
C. Dry mouth or constipation can be side effects but are not typically urgent concerns.
D. Varenicline has been associated with serious neuropsychiatric effects, including mood swings, depression, and suicidal ideation. These symptoms require immediate medical attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Leafy greens can affect warfarin effectiveness, so clients should be advised on consistent intake rather than large quantities.
B. Carrying an emergency ID is important for identification in case of an accident.
C. Hazardous activities should be avoided to reduce the risk of bleeding.
D. Regular follow-up and lab work are essential for monitoring INR levels and adjusting dosages.
E. Alcohol can interact with warfarin, so the intake should be limited and discussed with a healthcare provider.
Correct Answer is B
Explanation
A. Hypercalcemia is not a typical side effect associated with the combination of digoxin and furosemide.
B. Hypokalemia is a significant concern when administering digoxin with furosemide because furosemide is a loop diuretic that can lead to potassium loss. Low potassium levels increase the risk of digoxin toxicity.
C. Hypocalcemia is not a typical concern with these medications.
D. Hyponatremia can occur with furosemide, but it is not the primary concern when monitoring the effects of digoxin.
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