A nurse is providing teaching about varenicline to a client who is in a smoking cessation program. Which of the following statements should the nurse make?
"Take this medication for the full course of 30 days and do not repeat the course."
"Plan to start taking this medication 1 week before you stop smoking."
"This medication can cause drowsiness."
"Do not eat grapefruit while taking this medication."
The Correct Answer is B
Choice A rationale:
The recommended course of varenicline is longer than 30 days.
Choice B rationale:
Varenicline should be started 1 week before the client's quit date to allow the medication to reach effective levels.
Choice C rationale:
Drowsiness is not a common side effect of varenicline.
Choice D rationale:
Grapefruit interactions are not typically associated with varenicline.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Providing rest breaks between nursing care activities is essential to prevent fatigue and allow for recovery, as stroke patients often have reduced endurance and energy.
B. Notifying the provider of a systolic blood pressure higher than 180 mm Hg is crucial because hypertension can exacerbate brain injury following a stroke and increase the risk of hemorrhagic transformation.
C. Administering aspirin 650 mg every 6 hours for a headache is not recommended without a physician's order, especially post-stroke, as it can increase the risk of bleeding.
D. Keeping the client's head in a midline neutral position helps to promote venous drainage and decrease intracranial pressure, which is beneficial in the management of a stroke patient.
E. Monitoring the client's vital signs every 4 hours is important for detecting any changes in the patient's condition that may indicate complications or the need for medical intervention.
Correct Answer is A
Explanation
Choice A rationale:
The client's parent is typically the legal decision-maker for a 19-year-old client who is unable to make decisions due to their condition. Approaching the client's parent about considering organ donation is appropriate.
Choice B rationale:
While family dynamics can vary, the parent is usually the primary decision- maker for a minor or incapacitated individual. The grandparents may be consulted or involved in the decision-making process, but the parent's consent is generally required for organ donation.
Choice C rationale:
The client's older sibling may be consulted or involved in the decision- making process, but the parent's consent is generally required for organ donation.
Choice D rationale:
The client's spouse may be consulted or involved in the decision-making process, but the parent's consent is generally required for organ donation.
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