When using nicotine gum, what action must the client take to break the outer shell effectively?
Chew the gum briefly.
Swallow the gum whole.
Crush the gum with tools before chewing.
Dissolve the gum completely in the mouth.
The Correct Answer is A
A. Chew the gum briefly: Nicotine gum is designed to be chewed slowly until a tingling or peppery taste is noticed, then “parked” between the cheek and gum to allow nicotine absorption through the oral mucosa. Brief, repeated chewing releases nicotine gradually, enhancing effectiveness and reducing gastrointestinal side effects.
B. Swallow the gum whole: Swallowing nicotine gum prevents absorption through the oral mucosa and can increase gastrointestinal upset. The intended route of absorption is buccal, not gastrointestinal.
C. Crush the gum with tools before chewing: Crushing the gum is unnecessary and can release nicotine too quickly, increasing the risk of side effects such as nausea, dizziness, or palpitations. The gum is formulated for gradual release when chewed properly.
D. Dissolve the gum completely in the mouth: Letting the gum dissolve without chewing does not effectively break the outer shell and limits nicotine release. Proper chewing is required to initiate the pharmacologic effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Calculation:
- Identify the hour and minute in 12-hour time
Hour: 3 PM
Minute: 45
- Convert PM hours to 24-hour format
For PM times (except 12 PM), add 12 to the hour: 3 + 12 = 15
- Combine the hour and minutes
= 1545
Correct Answer is A
Explanation
A. By mouth: "PO" (per os) is a Latin abbreviation indicating that the medication should be taken orally and absorbed through the gastrointestinal tract. This is the most common and convenient route for many medications.
B. Intravenously: Intravenous administration involves delivering medication directly into a vein, bypassing the digestive system.
C. Topically: Topical administration refers to applying medication directly to the skin or mucous membranes for local effect.
D. Buccally: Buccal administration involves placing the medication between the gums and cheek for absorption through oral mucosa. While still oral, it is distinct from swallowing, which "PO" specifies.
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