Author Question: A patient asks about nicotine patches for smoking cessation and wants to know the difference between ... (Read 41 times)

WWatsford · **on:** Jul 23, 2018

A patient asks about nicotine patches for smoking cessation and wants to know the difference between the 24-hour patch and the 16-hour patch. Which response by the nurse is correct?

a. The 16-hour patch is for patients who have trouble sleeping.
b. The 16-hour patch simulates usual nicotine ingestion patterns.
c. The 24-hour patch is for persons weighing more than 100 pounds.
d. The 24-hour patch is recommended for heavier smokers.

Question 2

A nursing student asks a nurse about the effects of alcohol on the heart. Which statement by the nurse is correct?

a. Alcohol produces a dose-dependent decrease in blood pressure.
b. It is better to consume moderate amounts 1 or 2 days per week than 3 or 4 days per week.
c. Moderate consumption of alcohol protects the heart by elevating low-density lipoproteins.
d. Moderate amounts of alcohol may inhibit the development of atherosclerosis.

Pamela.irrgang@yahoo.com · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Nicotine transdermal patches usually are packaged in systems, with progressively smaller doses of nicotine. The 16-hour patch is designed to be removed at bedtime; this simulates the usual nicotine dosing produced by smoking. It does not necessarily affect the ability to sleep. Individuals who weigh less than 100 pounds are advised to use smaller patches. Heavier smokers are advised to begin with larger patches.

Answer to Question 2

ANS: D
Moderate amounts of alcohol help minimize clot formation and clot destruction and also help suppress the inflammatory component of atherosclerosis. Alcohol produces a dose-dependent increase in blood pressure. For moderate drinkers, consumption 3 or 4 days per week is better than 1 to 2 days per week to obtain cardiovascular benefits. Moderate consumption of alcohol elevates high-density lipoproteins.