A nurse is planning to teach 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.
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.
The Correct Answer is B
A. Administer 2 sprays of nicotine nasal spray in each nostril with each dose: Nicotine nasal spray is administered as a single spray in each nostril with each dose.
B. Do not drink beverages while sucking on a nicotine lozenge.
This instruction is correct because when using nicotine lozenges, the client should not drink beverages while the lozeng is being dissolved in the mouth. The lozenge should be placed in the mouth and allowed to dissolve slowly over a period of about 20-30 minutes. Consuming beverages can wash away the nicotine from the lozenge too quickly, reducing its effectiveness.
C. Chew nicotine gum for 10 min before spitting it out: Nicotine gum should be chewed for a specific time period (about 30 minutes) until the nicotine is released, and then it should be parked between the cheek and gum until the taste fades, at which point it can be chewed again.
D. Change the nicotine patch every other day: Nicotine patches are usually changed daily, and the site of application should be rotated to avoid skin irritation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hct 43%
Explanation: Hematocrit (Hct) measures the proportion of blood volume that is occupied by red blood cells. A low Hct level could indicate anemia, which might affect the body's ability to deliver sufficient oxygen to tissues.
B. Creatinine 2.5 mg/dL
Explanation: Elevated creatinine levels indicate potential kidney dysfunction. Tobramycin is primarily excreted by the kidneys, so elevated creatinine levels can increase the risk of tobramycin toxicity due to reduced drug clearance.
C. Sodium 137 mEq/L
Explanation: Sodium level within the normal range. It doesn't directly impact the administration of tobramycin.
D. Hgb 15 g/dL
Explanation: Hemoglobin (Hgb) measures the concentration of oxygen-carrying protein in the blood. A normal hemoglobin level is not directly related to the administration of tobramycin.
Correct Answer is A
Explanation
A. Osteoporosis. A nurse is consulting a formulary about a client's new prescription for raloxifene. The medication raloxifene is used to treat osteoporosis. It is a selective estrogen receptor modulator (SERM) that helps to prevent and treat bone loss in postmenopausal women. It works by mimicking the effects of estrogen on bone tissue, helping to prevent bone breakdown and maintain bone density.
B. Urinary tract infection: UTIs are typically treated with antibiotics.
C. Hypothyroidism: Hypothyroidism is treated with thyroid hormone replacement.
D. Deep-vein thrombosis: DVT is typically treated with anticoagulant medications like heparin and warfarin.
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