A client with tobacco use disorder is being educated about Nicotine replacement therapy. Which statement by the client indicates an understanding of the teaching?

Correct Answer: A

Rationale: The correct answer is A) "I should avoid eating right before chewing a piece of nicotine gum." This statement indicates an understanding of the teaching because chewing nicotine gum after eating can reduce the absorption of nicotine, making the therapy less effective. It is recommended to wait at least 15 minutes after eating or drinking before using nicotine gum to ensure optimal absorption. Option B) "I will need to stop using the nicotine gum after 1 year" is incorrect because the duration of nicotine replacement therapy varies for each individual and should be determined by a healthcare provider based on the client's progress in quitting smoking. Option C) "I know that nicotine gum is a safe alternative to smoking during pregnancy" is incorrect because nicotine replacement therapy, including nicotine gum, should only be used during pregnancy under the guidance of a healthcare provider due to potential risks to the fetus. Option D) "I must chew the nicotine gum quickly for about 15 minutes" is incorrect because nicotine gum should be chewed slowly and intermittently over a 30-minute period to allow for proper absorption of nicotine through the oral mucosa. In an educational context, understanding the proper use of nicotine replacement therapy is crucial for clients with tobacco use disorder to successfully quit smoking. Educating clients on the correct administration of nicotine gum can enhance the effectiveness of the therapy and ultimately support their smoking cessation efforts.

Correct Answer: D

Rationale: In this scenario, the priority finding to report to the provider is option D) Urine output of 200 mL in 8 hours. Furosemide is a diuretic that helps the body get rid of excess water and salt through urine. A low urine output could indicate decreased renal perfusion, which can be a sign of worsening heart failure or renal impairment. This finding needs prompt attention to prevent further complications. Option A) Weight loss of 1 kg in 24 hours could be expected with diuretic use, but it is not as concerning as a decreased urine output in this context. Option B) Blood pressure of 104/60 mm Hg is slightly low but may be a common side effect of diuretics and may not be a priority over decreased urine output. Option C) Potassium level of 3.5 mEq/L is within the normal range and not an immediate concern unless it drops further. Educationally, this question highlights the importance of recognizing priority assessments in clients taking diuretics for heart failure. Understanding the rationale behind prioritizing certain findings can help nurses provide timely and appropriate care to prevent complications in clients receiving diuretic therapy.

Correct Answer: B

Rationale: The correct answer is B) Remove the patch at bedtime each day. Nitroglycerin patches are typically removed at bedtime to allow for a nitrate-free interval, which helps prevent tolerance to the medication's effects. This timing also mimics the body's natural circadian rhythm, as nitroglycerin is often used to prevent angina episodes during the day when the heart's workload is higher. Option A) Apply the patch to a different site each day is incorrect because nitroglycerin patches are usually applied to the same general area (usually the upper torso or upper arm) to maintain consistent drug absorption. Option C) Apply the patch over an area with little or no hair is incorrect as hair does not significantly impact the absorption of the medication from the patch. Option D) Keep the patch on for 24 hours at a time is incorrect because nitroglycerin patches are typically worn for 12-14 hours to allow for a nitrate-free interval to prevent tolerance. Educationally, understanding the proper administration of nitroglycerin patches is crucial to ensure the medication's effectiveness and prevent adverse effects. Teaching patients about proper patch use can improve treatment outcomes and safety.

Correct Answer: C

Rationale: The nurse should monitor the hematocrit level to evaluate the effectiveness of Epoetin Alfa therapy. Epoetin Alfa stimulates red blood cell production, leading to an increase in hematocrit levels. Monitoring the hematocrit helps assess the response to therapy and ensures that the medication is effectively addressing the anemia.

Correct Answer: B

Rationale: The correct answer is to instruct the client to avoid taking additional Acetaminophen while on Oxycodone/Acetaminophen to prevent exceeding the maximum recommended dose and reducing the risk of liver toxicity. Oxycodone/Acetaminophen already contains Acetaminophen, so additional intake can lead to an overdose of this component.