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 D
Explanation
A. Quinidine is used for other types of arrhythmias but is not typically the first choice for recurrent ventricular fibrillation that has not responded to other treatments.
B. Digoxin is used to manage heart failure and atrial fibrillation but is not effective for ventricular fibrillation.
C. Atropine is used for bradycardia, not ventricular fibrillation.
D. Amiodarone is a potent antiarrhythmic agent used for life-threatening ventricular arrhythmias, including ventricular fibrillation, particularly when other treatments have failed.
Correct Answer is B
Explanation
A. Renal function tests are important for overall health but are not the priority in this scenario.
B. Propranolol can mask the symptoms of hypoglycemia, which is a common complication in clients with type 1 diabetes. The nurse should first check the client's blood glucose level to assess for hypoglycemia.
C. While blood pressure is important, the symptoms described are more indicative of hypoglycemia.
D. Serum electrolyte levels might be relevant but are not the immediate concern with the described symptoms.
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