A nurse is preparing to administer a transdermal patch to a client. The nurse notes the client already has a patch that was applied 24 hr ago. Which of the following actions should the nurse take?
Fold the existing patch on itself and dispose of it in a childproof container.
Shave the client's lower leg for placement of the new patch.
Keep the existing patch on and place the new patch in a different location.
Discard the old patch and apply a new one in the same location.
The Correct Answer is A
A. Fold the existing patch on itself and dispose of it in a childproof container: The nurse should remove the old patch before applying a new one to avoid excessive medication delivery. The patch should be folded on itself to prevent accidental exposure to the medication and disposed of safely in a childproof container to prevent potential harm.
B. Shave the client's lower leg for placement of the new patch: Shaving can irritate the skin and increase the absorption of the medication, leading to an increased risk of side effects. The patch should be applied to clean, dry, and intact skin without shaving the area.
C. Keep the existing patch on and place the new patch in a different location: The old patch should be removed before applying a new one to prevent an overdose of medication. Placing a new patch over an old one can lead to excessive drug absorption,.
D. Discard the old patch and apply a new one in the same location: While the old patch should be discarded, it is not recommended to apply a new patch in the exact same location. Rotating the patch sites is important to prevent skin irritation and promote better absorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Persistent repositioning of objects: Repositioning objects frequently is more likely to be related to issues like anxiety or cognitive concerns rather than a hearing deficit. It does not typically indicate a hearing issue.
B. No response to tactile stimuli: No response to tactile stimuli suggests a possible sensory deficit related to touch or neurological concerns, but it does not indicate a hearing deficit. Hearing deficits affect auditory perception, not tactile sensations.
C. Decreased attention span: A decreased attention span can be a sign of hearing impairment, as individuals with hearing deficits may have difficulty following conversations or may become distracted due to not fully engaging with their environment.
D. Presence of expressive aphasia: Expressive aphasia is related to difficulty with speech production and language, typically following neurological events like strokes. It is not directly associated with hearing deficits but rather with language processing.
Correct Answer is B,E,C,A,D
Explanation
B. Don clean gloves: The nurse should first don clean gloves to ensure proper hygiene and to reduce the risk of infection during the procedure. This protects both the client and the nurse from any potential contamination.
E. Attach the syringe to the balloon injection port: After gloves are on, the next step is to attach the syringe to the balloon injection port of the catheter. This is the part where sterile fluid (usually saline) was used to inflate the balloon that keeps the catheter in place.
C. Withdraw the solution from the balloon: Once the syringe is attached, the nurse slowly withdraws the fluid from the balloon. This is necessary to deflate the balloon, which allows the catheter to be removed easily and without causing injury to the urethral canal.
A. Slowly pull the catheter out of urethral canal: After the balloon is deflated, the nurse gently and slowly pulls the catheter out of the urethral canal. This should be done carefully to avoid causing trauma to the urethra and surrounding tissues. The catheter should be removed in a smooth, controlled motion.
D. Dry the perineal area: After the catheter is removed, the nurse should clean and dry the perineal area to ensure hygiene. This step helps prevent skin irritation and infection after the catheter removal, ensuring that the area is properly cared for and free of moisture.
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