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?
Do not drink beverages while sucking on a nicotine lozenge.
Chew nicotine gum for 10 min before spitting it out.
Change the nicotine patch every other day.
Administer 2 sprays of nicotine nasal spray in each nostril with each
The Correct Answer is A
The nurse should instruct the client to avoid drinking beverages while sucking on a nicotine lozenge because this can interfere with the absorption of nicotine and reduce its effectiveness. Some possible explanations for the other choices are:
Choice B is wrong because chewing nicotine gum for 10 minutes before spitting it out is too short.
The recommended duration is at least 30 minutes to allow enough nicotine to be released and absorbed through the lining of the mouth.
Choice C is wrong because changing the nicotine patch every other day is not frequent enough.
The patch should be changed daily and applied to a different skin site to prevent irritation and ensure a steady dose of nicotine.
Choice D is wrong because administering 2 sprays of nicotine nasal spray in each nostril with each dose is too much.
The recommended dose is one spray per nostril, up to five times per hour or 40 times per day.
Using too much nasal spray can cause side effects such as nasal irritation, sneezing, coughing, headache, or nausea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is the recommended dosage for cyanocobalamin nasal spray for pernicious anaemia and vitamin B12 deficiency. Cyanocobalamin nasal gel is used to prevent a lack of vitamin B12 that may be caused by various factors.
Choice A is wrong because the duration of treatment depends on the individual’s response and blood levels of vitaminB. Some people may need to use this medication for longer than 6 months.
Choice C is wrong because there is no need to lie down for 1 hour after administering the medication.
This may cause nasal irritation or drainage.
Choice D is wrong because using a nasal decongestant 15 minutes before the medication may interfere with the absorption of cyanocobalamin. If you have a stuffy nose, you should talk to your doctor about alternative ways to take vitaminB.
Correct Answer is C
Explanation
Urticaria, also known as hives, is a common sign of an allergic reaction to penicillin. An allergic reaction is an abnormal response of the immune system to the drug. Other signs and symptoms of penicillin allergy may include skin rash, itching, fever, swelling, shortness of breath, wheezing, runny nose, itchy eyes, and anaphylaxis. Anaphylaxis is a rare but life-threatening condition that affects multiple body systems and requires immediate emergency treatment.
Choice A is wrong because pallor is not a typical sign of an allergic reaction to penicillin.
Pallor means pale skin and may be caused by other conditions such as anemia or shock.
Choice B is wrong because bradycardia is not a typical sign of an allergic reaction to penicillin.
Bradycardia means slow heart rate and may be caused by other conditions such as heart block or medication side effects.
Choice D is wrong because dyspepsia is not a typical sign of an allergic reaction to penicillin.
Dyspepsia means indigestion and may be caused by other conditions such as gastritis or peptic ulcer.
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