In educating an older client about smoking cessation, the nurse should keep in mind that:
1. Most persons quit smoking several times before they are successful.
2. Buproprion (Zyban) taken orally is safe for clients with seizure disorders.
3. A piece of nicotine gum should be chewed for 5 minutes of every waking hour.
4. There is no adverse risk if the client chooses to smoke while wearing a nicotine patch.
1. Most persons quit smoking several times before they are successful.
Rationale:
When teaching clients about smoking cessation, the nurse should emphasize that most persons who quit smoking try to quit several times before they are successful. Buproprion is used to suppress the craving for tobacco but is contraindicated for clients with a positive history for seizures. The proper use of nicotine gum is to take one piece when the urge to smoke occurs, up to 9 to 12 times daily. The gum should be chewed several times to soften it and then held in the buccal space for at least 30 minutes to absorb the medication. A client wearing a nicotine patch must not smoke because of increased risk for cardiovascular problems including myocardial infarction.
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