A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include?

Administer 2 sprays of nicotine nasal spray in each nostril with each dose.

Change the nicotine patch every other day.

Chew nicotine gum for 10 min before spitting it out.

Do not drink beverages while sucking on a nicotine lozenge.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Nicotine nasal spray delivers a rapid dose of nicotine to the bloodstream, which can help reduce cravings and withdrawal symptoms. The recommended dose is 1 to 2 sprays in each nostril every hour, up to 40 sprays per day. The client should not sniff, swallow, or inhale while spraying, and should avoid contact with the eyes and skin.

Choice B rationale:

The nicotine patch should be changed every 24 hours, not every other day. The patch provides a steady dose of nicotine through the skin, which can help prevent cravings and withdrawal symptoms. The client should apply the patch to a clean, dry, and hairless area of the skin, and rotate the site of application daily.

Choice C rationale:

the nicotine gum should be chewed for about 30 minutes, not 10 minutes, before spitting it out. The gum releases nicotine into the mouth, which is then absorbed into the bloodstream through the mucous membranes. The client should chew the gum slowly until a peppery taste or tingling sensation occurs, then park it between the cheek and gum until the taste or sensation fades, then repeat the process.

Choice D rationale:

The client should avoid drinking beverages for 15 minutes before and during sucking on a nicotine lozenge, not just while sucking on it. The lozenge dissolves in the mouth and releases nicotine, which is then absorbed into the bloodstream through the mucous membranes. Drinking beverages can interfere with the absorption of nicotine and reduce the effectiveness of the lozenge.

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Correct Answer is D

Explanation

Choice A rationale:

Hyperglycemia is not typically associated with an acute infusion reaction to amphotericin B.

Choice B rationale:

A dry cough is a common side effect of amphotericin B, but it is not an indicator of an acute infusion reaction.

Choice C rationale:

Pedal edema is not a typical sign of an acute infusion reaction to amphotericin B.

Choice D rationale:

Fever, along with other symptoms like chills, fever, nausea, and vomiting, can be indicative of an acute infusion reaction to amphotericin B. It may require stopping the infusion and providing appropriate treatment.

A. Discard the medication if it is yellow. B. Administer the medication over 2 hr. C. Prime the tubing with 0.9% sodium chloride. D. Use a gravity flow set.

Correct Answer is C

Explanation

Choice A rationale:

Amphotericin B lipid complex is normally yellow in color, so discarding it would be wasteful and inappropriate. The nurse should only discard the medication if it is cloudy, discolored, or contains particulate matter.

Choice B rationale:

Amphotericin B lipid complex should be administered over 1 hr, not 2 hr, to reduce the risk of infusion-related reactions such as fever, chills, rigors, hypotension, and tachycardia. The nurse should also premedicate the client with antipyretics, antihistamines, and corticosteroids to prevent or minimize these reactions.

Choice C rationale:

Priming the tubing with a compatible solution, such as 0.9% sodium chloride, helps prevent the medication from adhering to the tubing and ensures that the full dose reaches the client.

Choice D rationale:

Amphotericin B lipid complex should be administered using an infusion pump, not a gravity flow set, to ensure accurate and consistent delivery of the medication. The nurse should also use a filter needle when drawing up the medication from the vial and a 5-micron filter when infusing it to remove any impurities or aggregates.

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A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

Correct Answer is D

Explanation

A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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