Exam 72: Smoking Cessation

A patient has been using a nicotine patch for several weeks and uses the 15 mg/16 hour patch.The patient reports having frequent continual cravings for cigarettes,especially on awakening in the morning.The primary care NP should:

An adolescent patient has recently begun smoking and reports a habit of fewer than five or six cigarettes per day.The patient does not want to quit smoking now but plans to do so after college.The primary care nurse practitioner should:

A patient who smokes reports repeated attempts to quit smoking using a nicotine replacement patch.The patient says,"I always do well for a few weeks and then I just start smoking again." The primary care nurse practitioner (NP)should prescribe:

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 patient reports smoking two or more packs of cigarettes per day and expresses a desire to quit smoking.The primary care NP learns that the patient smokes heavily during breaks at work and during the evening but with no established schedule.The NP should recommend:

A primary care NP has been working with a young woman who wants to quit smoking before she begins having children.She has made several attempts to quit using nicotine replacement therapy and is feeling discouraged.She does not want to take medication at this time.The NP should:

A patient who is using a nicotine patch for smoking cessation is in the clinic for a follow-up examination.The primary care NP notes a heart rate of 96 beats per minute and a blood pressure of 140/90 mm Hg.The patient reports feeling dizzy and complains of ringing in both ears.The NP should suspect: