A nurse is providing teaching to a client who reports smoking 3 packs of cigarettes per day and has a prescription for nicotine gum. Which of the following instructions should the nurse include in the teaching?
"Do not chew more than 40 pieces of gum per day."
"Allow 9 months for the gum to achieve the therapeutic effect."
"Chew the gum slowly over 30 minutes."
"Drink a glass of water 5 minutes before chewing the gum."
The Correct Answer is C
A. This statement is incorrect. While it’s essential not to exceed the recommended dose, the
maximum daily limit for nicotine gum is 24 pieces, not 40. Using more than the recommended amount can lead to adverse effects
B. This information is not accurate. Nicotine gum is typically used for a shorter duration. The
treatment plan varies, but it’s essential to follow the recommended dosing and gradually reduce usage over time. The goal is to quit smoking successfully, not to use the gum for 9 months
C. This advice is correct. Nicotine gum is not used like ordinary chewing gum. You should chew it a few times and then “park” it between your cheek and the space below your teeth. The nicotine is absorbed mostly in your mouth. Chewing it slowly over 30 minutes allows for
effective absorption and helps control withdrawal symptoms
D. Drinking water before chewing nicotine gum is not a necessary instruction for its use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
A. Advise the client to change positions slowly: The client's symptoms of dizziness and light- headedness upon standing suggest orthostatic hypotension, which can be managed by advising the client to change positions slowly to minimize blood pressure drops upon standing.
B. Check the client for orthostatic hypotension. Monitor the client for dysrhythmias: The client's symptoms, along with the report of waking up at night to void, are suggestive of orthostatic hypotension, a drop in blood pressure upon standing. Checking for orthostatic hypotension and monitoring for dysrhythmias are appropriate nursing actions to assess and manage this condition.
C. Advise the client to restrict potassium intake: Restricting potassium intake is not indicated based on the client's symptoms of dizziness and light-headedness. This action is not relevant to the situation described.
D. Advise the client to take the medication before bedtime: There is no indication in the scenario provided that medication timing is related to the client's symptoms. This action is not relevant to addressing the client's reported symptoms.
Correct Answer is ["500"]
Explanation
To calculate the dose of erythromycin per administration, you can follow these steps:
- Determine the total daily dose: 2 g.
- Divide the total daily dose by the number of equally divided doses per day: 2 g / 4 doses =
0.5 g per dose.
- Convert grams to milligrams: 0.5 g * 1000 mg/g = 500 mg.
So, the nurse should administer 500 mg of erythromycin per dose.
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