A patient has been using a nicotine nasal spray for 4 months, one to two doses every hour while awake and as needed for cravings. The patient reports that the cravings have stopped and that one dose per hour is generally sufficient

The primary care NP should recommend: a. changing to Nicorette gum as needed.
b. using a low-dose 16-hour patch for 2 weeks.
c. continuing one dose per hour for 2 more months and then discontinuing.
d. beginning one dose every 2 hours for 1 week and then one dose every 4 hours.


D
Once the patient is showing improvement, the nasal spray should be tapered by halving the number of doses used each week. Patients should not switch products, so nicotine replacement gum or the patch is not indicated. Tapering is recommended rather than an abrupt discontinuation to prevent acute withdrawal symptoms, which may contribute to relapse.

Nursing

You might also like to view...

The nurse is performing patient teaching with a patient newly diagnosed with glaucoma. The nurse teaches the patient that this disease has a familial tendency

How often would the nurse tell the patient that family members should undergo examination for the detection of glaucoma? A) At least monthly B) At least once every 2 years C) At least once every 5 years D) At least once every 10 years

Nursing

Statements that describe values may include which of the following? Select all that apply

a. Values are concrete concepts that reflect what is meaningful and important to individuals. b. Values are learned in conscious and unconscious ways and become a part of a person's makeup. c. Values provide direction and meaning to life. d. Values may be expressed overtly or in an indirect way. e. Values have little influence over an individuals' choices.

Nursing

The labor and delivery nurse is reviewing charts. The nurse should inform the supervisor about which patient?

1. Multip at 5 cm requesting labor epidural analgesia 2. Primip whose cervix remains at 6 cm for 4 hours 3. Multip who has developed nausea and vomiting 4. Primip requesting her partner to stay with her

Nursing

When transferring a patient, wheels should be locked on beds, stretchers, and shower chairs

True False

Nursing