A patient asks about nicotine patches for smoking cessation and wants to know the difference between the 24-hour patch and the 16-hour patch. Which response by the nurse is correct?
a. "The 16-hour patch is for patients who have trouble sleeping."
b. "The 16-hour patch simulates usual nicotine ingestion patterns."
c. "The 24-hour patch is for persons weighing more than 100 pounds."
d. "The 24-hour patch is recommended for heavier smokers."
ANS: B
Nicotine transdermal patches usually are packaged in systems, with progressively smaller doses of nicotine. The 16-hour patch is designed to be removed at bedtime; this simulates the usual nicotine dosing produced by smoking. It does not necessarily affect the ability to sleep. Individuals who weigh less than 100 pounds are advised to use smaller patches. Heavier smokers are advised to begin with larger patches.
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