The nurse is providing education to a client who wants to quit ...

[Shelles]

The nurse is providing education to a client who wants to quit smoking. Which statements are appropriate for the nurse to include in the teaching session with this client? Select all that apply.
 
  A) There is no adverse risk if the client chooses to smoke while wearing a nicotine patch.
  B) Bupropion (Zyban) is used to suppress the craving for tobacco.
  C) A piece of nicotine gum should be chewed for 5 minutes of every waking hour then held in the cheek.
  D) Most persons quit smoking several times before they are successful.
  E) Alternative therapies should be considered to help reduce the stress that accompanies smoking cessation.

Question 2

The nurse is providing care to a client who has a history of chronic obstructive pulmonary disease (COPD) who wants help and information regarding nicotine addiction and ways to quit smoking.
 
  After providing education to this client regarding smoking cessation, which statement indicates appropriate understanding of the information presented?
  A) I will keep a pack of cigarettes in my closet in case I need it.
  B) I will taper off smoking gradually.
  C) I will chew sugar-free gum when I want a cigarette.
  D) I will eat a snack when I am feeling nervous.

[heinisk01]

Answer to Question 1

Answer: B, D, E

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. Bupropion is used to suppress the craving for tobacco and is a viable option for this client. 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. The nurse should always consider alternative therapies in addition to traditional therapies, as they may help the client deal with the stress that accompanies smoking cessation.

Answer to Question 2

Answer: C

When providing education regarding smoking cessation, it is important for the nurse to include adaptive coping mechanisms for the client to use during times of stress. The client who expresses the intention to use a healthy coping mechanism-such as chewing sugar-free gum-when the urge to smoke arises indicates appropriate understanding of the information presented. Tapering off smoking and keeping cigarettes close by are examples of the client who is not wholly committed. Eating when stressed may lead the client to substitute eating for smoking, which is a form of denial.