Lehne Chapter 42

The nurse is providing patient teaching about NRT. The nurse should provide further instruction about available delivery systems when the patient makes which statement? a. "I should schedule appointments for my monthly injections at the end of the month." b. "I can place the lozenge in my mouth until it dissolves." c. "I should rotate sites when I apply the patches." d. "I should exhale fully before placing my lips around the mouthpiece of my inhaler."

a. "I should schedule appointments for my monthly injections at the end of the month."

A patient asks the nurse why he feels so calm after smoking if this habit is so harmful and addictive. What is the nurse's best response? a. "Nicotine acts on the pleasure system in the brain, which lessens feelings of aggression." b. "Nicotine acts on special nerve receptors in the body and slows down your heart rate." c. "Nicotine decreases tone and motility in the digestive system, which helps you relax." d. "Nicotine depresses the nervous system, causing you to feel calm and relaxed."

a. "Nicotine acts on the pleasure system in the brain, which lessens feelings of aggression."

A hospitalized pregnant patient requests that she be escorted outside to have a cigarette. What is the nurse's best response? a. "Nicotine is a central nervous system depressant and can help you relax, putting less stress on the fetus." b. "Have you considered nicotine replacement therapy while you're pregnant?" c. "Because you're underweight for the gestational age of the baby, it's best that you only smoke between mealtimes." d. "The nicotine can increase your heart rate, which should improve blood flow to your baby."

b. "Have you considered nicotine replacement therapy while you're pregnant?"

The nurse is explaining nicotine tolerance to the nursing student. Which statement by the student indicates that the teaching has been effective? (Select all that apply.) "All of the side effects from nicotine will go away after time." "Smokers eventually have the same blood pressure as nonsmokers." "Smokers develop tolerance to nausea and dizziness." "The heart of a smoker does not work as hard as the heart of a nonsmoker."

b. "Smokers eventually have the same blood pressure as nonsmokers."; c. "Smokers develop tolerance to nausea and dizziness."

The healthcare provider has ordered nicotine gum for a patient who is admitted to the inpatient facility and withdrawing from nicotine. The order reads: Nicorette 2 mg chewable gum PO every hour PRN not to exceed 30 pieces per 24-hour period. If the patient requests and receives one piece of nicotine gum every 3 hours, how many milligrams of nicotine will the patient receive in 24 hours? a. 2 mg b. 16 mg c. 24 mg d. 30 mg

b. 16 mg

Which of the following statements about nicotine are correct? (Select all that apply.) a. Nicotine is a CNS depressant. b. Nicotine reduces aggression. c. Nicotine suppresses appetite. d. Nicotine improves cognition. e. Nicotine reduces memory.

b. Nicotine reduces aggression; c. Nicotine suppresses appetite.; d. Nicotine improves cognition.

A patient is scheduled to start taking varenicline [Chantix]. The nurse should teach the patient to observe for adverse effects, which include what? a. Weight loss, nausea, and mood changes b. Sleep disturbances, mood changes, and nausea c. Severe physical dependence, anorexia, and euphoria d. Mood changes, erratic behavior, and diarrhea

b. Sleep disturbances, mood changes, and nausea

The healthcare provider has ordered Nicotrol Step 1 nicotine patch 15 mg transdermal every day to be applied for 16 hours and then removed for 8 hours. The patch was applied by the previous nurse at 1000. The nurse anticipates the patch should be removed at what time? a. 2300 b. 0100 c. 0200 d. 0400

c. 0200

While providing health promotion teaching during a prenatal class, the nurse should list which modifiable risk factor as the most common, yet harmful, during pregnancy? a. Overexertion while exercising b. Poor nutrition c. Age during pregnancy d. Smoking

d. Smoking

The teaching plan for a patient taking bupropion SR [Zyban] should include which statement? a. Take the drug at least 1 hour before a monoamine oxidase inhibitor. b. Weight gain is common. c. Increased salivation is common. d. Take a second dose as early in the day as possible.

d. Take a second dose as early in the day as possible.