Mrs. R. asks you, "If he can't smoke, why can't you give him one of those nicotine patches?" How will you respond?
Are there any alternatives to help him with his nicotine cravings? Would they be helpful
now?
Explain that use of the nicotine patch should be avoided in patients with severe angina or
uncontrolled hypertension (HTN) and for 8 weeks after an MI. Nicotine in the patch will constrict his
coronary arteries and might decrease blood flow and oxygen to his heart. At this time his condition
is unstable, and it is best not to risk these adverse effects.
Bupropion (Zyban) is an antidepressant that is used for smoking cessation. Varenicline (Chantix) is
another drug that can be used for smoking cessation. However, these drugs take several weeks to
have any effect on nicotine cravings. It may be useful to give him a mild antianxiety medication such
as alprazolam (Xanax) to help with the cravings.
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A patient was recently exposed to infectious microorganisms and many T lymphocytes are now differentiating into killer T cells. This process characterizes what stage of the immune response?
A) Effector B) Proliferation C) Response D) Recognition
A client on antiarrhythmic drug therapy complains of nausea, vomiting, abdominal pain, diarrhea, and a ringing sensation in the ears. Which of the following drugs should the nurse consider as the possible cause?
A) Lidocaine B) Quinidine C) Flecainide D) Procainamide
A nurse is concerned that there is an overuse of services by clients receiving care from a local physician. Which of the following statements describes what is occurring in this situation?
a. Treatment decisions are made conserva-tively. b. Disability and mortality are being reduced. c. Disparities in quality of care provided are increasing. d. Unnecessary tests, surgeries, and treat-ments are being ordered.
Which nursing diagnosis would be least useful for a depressed client who shows psychomotor retardation?
A. Constipation B. Death anxiety C. Activity intolerance D. Self-care deficit: bathing/hygiene