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A nurse is educating a client who is newly prescribed scopolamine (Scopace) patches for treating motion sickness. Which of the following client statements indicate to the nurse that the teaching has been effective? (Select All That Apply.).

A.

(Select All that Apply.)

B.

"I should apply this patch behind my ear."

C.

"This patch should be replaced every 7 days."

D.

"I should not use a second patch if the initial patch is ineffective."

E.

"Before putting on my patch, I should wipe the area with an alcohol swab."

Answer and Explanation

Correct Answer : A,C

A. "I should apply this patch behind my ear.": This is correct because the scopolamine patch is designed to be applied behind the ear, where it can effectively deliver medication through the skin.

B. "This patch should be replaced every 7 days.": This is incorrect because the scopolamine patch should be replaced every 72 hours (3 days), not every 7 days.

C. "I should not use a second patch if the initial patch is ineffective.": This is correct because using more than one patch at a time can lead to an overdose of the medication, which can cause serious side effects.

 

D. "Before putting on my patch, I should wipe the area with an alcohol swab.": This is incorrect because using an alcohol swab can irritate the skin and affect the absorption of the medication. The area should be clean and dry, but not cleaned with alcohol.


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Related Questions

Correct Answer is ["C","D"]

Explanation

A. Glucagon (Glucagen): Glucagon is used to treat severe hypoglycemia and is not indicated for managing EPS or involuntary muscle spasms.

B. Metformin (Glucophage): Metformin is an oral hypoglycemic agent used to manage diabetes mellitus and is not relevant for treating EPS or involuntary muscle spasms.

C. Benztropine (Cogentin): Benztropine is an anticholinergic medication used to treat extrapyramidal symptoms (EPS), such as involuntary muscle spasms, caused by antipsychotic medications like prochlorperazine2.

D. Diphenhydramine (Benadryl): Diphenhydramine is an antihistamine with anticholinergic properties that can also be used to manage EPS, including dystonic reactions2.

Correct Answer is D

Explanation

A. "This medication may cause increased libido." This is incorrect. Cimetidine (Tagamet) can cause side effects such as decreased libido, especially in men. This occurs because the drug inhibits the action of certain hormones, leading to sexual dysfunction.

B. "You may take this medication with antacids to prevent stomach upset." This is incorrect. Cimetidine should not be taken with antacids because antacids can reduce its absorption and effectiveness. It is advised to space the administration of cimetidine and antacids by at least 1 hour.

C. "This medication will neutralize your stomach acid." This is incorrect. Cimetidine works by blocking histamine receptors (H2 receptors), which reduces the production of stomach acid but does not neutralize it.

D. "This medication may cause decreased libido." This is correct. One of the side effects of cimetidine is reduced libido, particularly in male clients, due to its anti-androgenic effects.

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