A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse about what the provider might be planning to do. Which of the following nursing responses should the nurse make?

Choice A reason: Activate the patch 30 minutes after application

This statement is incorrect. The transdermal sumatriptan patch should be activated immediately after application, not 30 minutes later. The patch uses a mild electrical current to deliver the medication through the skin, and delaying activation would reduce its effectiveness.

Choice B reason: Take this medication daily to prevent headaches

This statement is also incorrect. Sumatriptan is used to treat acute migraine attacks and is not intended for daily use to prevent headaches. It should be used only when a migraine begins. Daily use could lead to medication overuse headaches and other side effects.

Choice C reason: Use contraception while taking this medication

This statement is correct. Women of childbearing age should use contraception while taking sumatriptan because its safety during pregnancy has not been established. It is important to avoid potential risks to the fetus.

Choice D reason: You can bathe with the patch in place

This statement is correct. The transdermal sumatriptan patch is designed to stay in place during bathing, showering, or swimming. However, it is not the most critical piece of information compared to the need for contraception.

Choice A reason: A client who had a stroke and is to be admitted

Assigning a client who had a stroke and is to be admitted might not be the best choice for an RN floated from the maternal-newborn unit. Stroke patients often require specialized neurological assessments and interventions that the RN might not be familiar with. Additionally, the initial admission process can be complex and time-consuming, requiring familiarity with the specific protocols and procedures of the medical-surgical unit.

Choice B reason: A client who is one-day postoperative following a total abdominal hysterectomy

This is the most appropriate assignment for the RN floated from the maternal-newborn unit. The RN is likely to be familiar with postoperative care, especially related to abdominal surgeries, given their experience in the maternal-newborn unit. Postoperative care involves monitoring vital signs, managing pain, and ensuring proper wound care, all of which are within the RN’s skill set. This familiarity can help ensure the client receives competent and safe care.

Choice C reason: A client who has acute pancreatitis

Acute pancreatitis can be a complex condition requiring specialized knowledge of gastrointestinal issues and potential complications such as fluid and electrolyte imbalances, respiratory issues, and severe pain management. The RN from the maternal-newborn unit may not have the specific expertise needed to manage these complexities effectively.

Choice D reason: A client who has terminal end-stage renal disease

Caring for a client with terminal end-stage renal disease involves managing complex chronic conditions, including fluid balance, electrolyte management, and possibly dialysis. This requires specialized knowledge and skills that the RN from the maternal-newborn unit might not possess. Additionally, end-of-life care requires a specific set of competencies and experience that might not be within the RN’s usual scope of practice.