A Patient Who Is Using a Nicotine Patch for Smoking

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:

A) nicotine withdrawal symptoms.
B) that the patient has been smoking.
C) hypersensitivity reaction to the nicotine patch.
D) minor cardiovascular effects of the nicotine patch.