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 ["A","B","C","D"]
Explanation
A. Sublingual nitroglycerin tablets should be placed under the tongue and allowed to dissolve to ensure proper absorption.
B. The medication should be kept in its original container to protect it from heat and light, which can degrade its effectiveness.
C. Nitroglycerin should be replaced regularly when it is past its expiration date to ensure its efficacy.
D. Taking nitroglycerin while lying or sitting can help prevent dizziness or fainting, and patients should change positions slowly to avoid orthostatic hypotension.
E. A headache is a common side effect of nitroglycerin, and it should not necessarily lead to discontinuation of the medication without consulting a healthcare provider.
Correct Answer is ["B","D"]
Explanation
A. Losartan is an antihypertensive, so it is intended to lower blood pressure, not cause hypertension.
B. Dizziness is a common side effect due to the blood pressure-lowering effects of losartan, especially when the client changes positions quickly.
C. Hyperglycemia is not a common side effect associated with losartan.
D. Hypotension is a possible side effect, as losartan lowers blood pressure. The nurse should monitor for signs of low blood pressure, especially if the dose is too high or the client is volume depleted.
E. Tachycardia is not a common side effect of losartan.
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