A prescriber has ordered nicotine nasal spray for a patient to assist with smoking cessation. Which statement will the nurse include when teaching the patient about the medication?
a. "This will produce a steady level of nicotine to reduce your cravings."
b. "You should gradually reduce the dose after 3 months of use."
c. "You should use 1 spray in each nostril per dose up to 5 times per hour."
d. "You will not develop dependence on the nicotine in the nasal spray."
ANS: C
Dosing for the nicotine nasal spray should be 1 spray in each nostril once or twice an hour, up to 5 times per hour. The spray causes a rapid rise in blood nicotine levels with each dose, which more closely simulates smoking. After 4 to 6 weeks, dosing should be gradually reduced and then stopped. Many people become dependent on the spray.
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