What should the nurse keep in mind when teaching an older client about smoking cessation?
1. Most people quit smoking several times before they are successful.
2. Bupropion (Zyban) is effective when used alone to decrease cravings.
3. A piece of nicotine gum should be chewed for 5 minutes of every waking hour.
4. Use of a nicotine patch is considered safe for anyone who has smoked regularly.
1. Most people quit smoking several times before they are successful.
Explanation: 1. Nurses should be persistent in educating and urging older clients to quit. The smoking addiction is difficult to beat. Many older people try to quit several times before they are ultimately successful.
2. Bupropion is contraindicated in people with seizure disorder. It is best used in combination with nicotine replacement therapy.
3. For clients choosing Nicorette gum, it is recommended that 9 to 12 pieces be used daily. The nurse should instruct clients to chew one piece at a time when they get the urge to smoke. After chewing the gum a few times to soften it, it should be held in the buccal cavity for at least one-half hour to release all the medication.
4. Nicotine replacement is contraindicated for those with certain cardiovascular conditions. While it has benefit over smoking, it is still not considered safe for certain populations of clients.
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