A patient with a desire to stop smoking asks a nurse about nicotine chewing gum (Nicorette). The patient currently smokes 30 cigarettes per day. Which statement by the nurse is correct?
a. "Stop using the gum 6 months after you stop using cigarettes."
b. "Use the 4-mg strength gum and chew one piece every 2 to 3 hours."
c. "Use the gum whenever you feel a craving for a cigarette."
d. "You should start with 30 pieces of the 2-mg strength gum per day."
ANS: B
Nicorette gum is available in two strengths, 2 mg and 4 mg. Patients who smoke more than 25 cigarettes per day should use the 4-mg strength. Dosing the gum on a regular schedule of every 2 to 3 hours has proved to be more effective than as-needed use. Use of the gum longer than 6 months total is not recommended, and the gum should be stopped 3 months after the last cigarette. PRN dosing is not as effective as regular dosing. The dose for a heavy smoker is 4-mg strength gum, one piece every 2 to 3 hours.
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