Which is a priority teaching intervention for the client who is using a nicotine patch?
a. "Abruptly discontinuing this patch can cause high blood pressure."
b. "Abruptly discontinuing this patch can cause nausea and vomiting."
c. "Smoking while using this patch increases the risk for pneumonia."
d. "Smoking while using this patch increases the risk for a heart attack."
D
Nicotine constricts blood vessels, increases mean arterial pressure, and increases afterload. Smoking while using a nicotine patch increases afterload to such an extent that the myocardium must work harder (with the coronary arteries constricted) and may cause a myocardial infarction. Abruptly discontinuing the patch will not necessarily cause hypertension or nausea and vomiting. Smoking while using the patch will not increase the risk for pneumonia.
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