A newly admitted patient complains of waking frequently during the night. The nurse observes the patient wearing a nicotine patch (Nicoderm CQ) on the right upper arm. Which action is best for the nurse to take?
a. Question the patient about use of the patch at night.
b. Suggest that the patient go to bed earlier in the evening.
c. Ask the health care provider about prescribing a sedative drug for nighttime use.
d. Remind the patient that the benefits of the patch outweigh the short-term insomnia.
ANS: A
Insomnia can occur when nicotine patches are used all night. This can be resolved by removing the patch in the evening. The other actions may be helpful in improving the patient's sleep, but the initial action should be to ask about nighttime use of the patch and suggest removal of the patch at bedtime.
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