Chapter 46 (4) Flashcards
Nicotine withdrawal symptoms include:
All of the above
If a patient wants to quit smoking, nicotine replacement therapy is recommended if the patient:
Smokes within 30 minutes of awakening in the morning
Instructions for a patient who is starting nicotine replacement therapy include:
Nicotine replacement will help with the withdrawal cravings associated with quitting tobacco.
Nicotine replacement therapy should not be used in which patients?
All of the above
Instructions for the use of nicotine gum include:
The gum should be “parked” in the buccal space between chewing.
Patients who choose the nicotine lozenge to assist in quitting tobacco should be instructed:
Use one lozenge every 1 to 2 hours (at least nine per day with a maximum of 20 per day).
Transdermal nicotine replacement (the patch) is an effective choice in tobacco cessation because:
The patch provides a steady level of nicotine without reinforcing oral aspects of smoking
The most common adverse effect of the transdermal nicotine replacement patch is:
Skin irritation under the patch site
If a patient is exhibiting signs of nicotine toxicity when using transdermal nicotine, they should remove the patch and:
Flush the area with clear water.
When a patient is prescribed nicotine nasal spray for tobacco cessation, instructions include:
The dose is one to two sprays in each nostril per hour, not to exceed 40 sprays per day
If prescribing bupropion (Zyban) for tobacco cessation, the instructions to the patient include:
Bupropion (Zyban) is started 1 to 2 weeks before the quit date.
Varenicline (Chantix) may be prescribed for tobacco cessation. Instructions to the patient who is starting varenicline include:
Neuropsychiatric symptoms may occur.
The most appropriate smoking cessation prescription for pregnant women is:
Nonpharmacologic measures
