A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?

A) Using up to 40 nicotine lozenges per day is excessive. The typical recommendation is to limit the use of nicotine lozenges to 5-6 per day, as excessive use can lead to nicotine toxicity and increased withdrawal symptoms.

B) Substituting tobacco use with an electronic cigarette is not recommended as a treatment option. While e-cigarettes may reduce exposure to some harmful substances found in traditional tobacco products, they can still maintain nicotine addiction and are not a clinically approved smoking cessation method.

C) Limiting the use of nicotine gum to 6 months is appropriate. While nicotine replacement therapies can be helpful for managing withdrawal symptoms, prolonged use beyond 6 months may not be beneficial and can maintain dependence on nicotine.

D) Using progressively larger nicotine patches is not the recommended approach. Nicotine patches should typically be started at a prescribed dose based on the client's previous nicotine use and adjusted as necessary, rather than increasing the dose without proper guidance.

A) Administering the medication at bedtime is not advisable because methylphenidate is a stimulant that can cause insomnia. It's typically recommended to give it in the morning or after breakfast to help manage symptoms during the day while minimizing sleep disturbances.

B) Administering the medication after breakfast is the best practice. Taking methylphenidate with food can help reduce gastrointestinal side effects and improve the medication's effectiveness throughout the school day. This timing also aligns with the medication's action profile to support focus and attention during daytime activities.

C) While monitoring sodium intake can be important for overall health, there is no specific requirement for children taking methylphenidate to avoid excess sodium. Instead, a balanced diet is generally encouraged, and any dietary changes should be discussed with a healthcare provider.

D) Foods containing tyramine are typically associated with monoamine oxidase inhibitors (MAOIs) and are not specifically a concern with methylphenidate. Therefore, advising avoidance of tyramine-rich foods is not relevant in this context, and the focus should be on proper medication management and monitoring for side effects.