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 A
Explanation
A. "Would you like to discuss other treatment options with your provider?": This response invites the client to express concerns and explore alternative treatments. It shows respect for their preferences and promotes a collaborative decision-making process.
B. "Regular monitoring is not difficult and will ensure that you remain healthy.": This response downplays the client’s concerns and could be seen as dismissive. It focuses more on the ease of monitoring than addressing the client’s discomfort.
C. "Your provider wants you to take this medication.": Using authority to justify medication may cause the client to feel coerced rather than involved in their treatment. This doesn’t address their concerns and may erode trust.
D. "Why don't you want to undergo monitoring?": Asking why could put the client on the defensive and may make them feel judged. It doesn’t foster open communication or understanding of the client’s concerns.
Correct Answer is B
Explanation
A. Leave resuscitation equipment and supplies at the bedside: This can be distressing for the family. Removing such equipment before the family views the body promotes a more peaceful environment.
B. Hold the client's eyelids closed until they remain shut: This is part of postmortem care to maintain a natural appearance. It shows respect and helps prepare the body before the family views it.
C. Apply identification tags to the client's extremities: While necessary, identification tagging is not a priority before the family views the body. It is typically done before transport to the morgue.
D. Keep the head of the bed flat: Elevating the head of the bed slightly helps prevent discoloration due to blood pooling and gives the body a more natural appearance. Keeping it flat is not ideal.
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