Which information is most important for the nurse to report to the health care provider about a patient who has been using varenicline (Chantix)?

a. The patient continues to smoke a few cigarettes every day.
b. The patient complains of headaches that occur almost daily.
c. The patient complains of new-onset sadness and depression.
d. The patient says, "I have decided that I am not ready to quit."


ANS: C
Adverse effects of varenicline include depression and attempted suicide. The patient's symptoms require immediate assessment and discontinuation of the drug. The other information will also be reported, but it does not indicate any life-threatening problems associated with the medication.

Nursing

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A patient in the clinic reports frequent episodes of bloating, abdominal pain, and loose stools to the primary care nurse practitioner (NP). An important question the NP should ask about the abdominal pain is:

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