A nurse is preparing to apply a fentanyl transdermal patch. Which of the following actions should the nurse take?
Cleanse the application area with an alcohol swab before applying the patch.
Apply a warm compress to the patch for 10 min to enhance absorption.
Press the patch firmly into place using the palm of the hand for 30 seconds.
Discard the used patch in a clear plastic bag and place it in the trash.
The Correct Answer is C
C. Pressing the patch helps to activate the adhesive and ensure it sticks securely to the skin. This step helps prevent the patch from coming loose, which could interfere with drug delivery.
A. Cleaning the skin with water, not an alcohol swab, helps ensure that the patch adheres well to the skin, promoting consistent drug delivery. This step also reduces the risk of skin irritation or infection.
B Heating the patch with a warm compress could potentially increase the release of fentanyl from the patch, but this method is not recommended.
D. Used fentanyl patches should be folded in half with the sticky sides together and placed in a clear plastic bag before disposal in the trash. This step helps to prevent accidental contact with the residual medication on the patch.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A Anaphylaxis is a severe allergic reaction that can occur rapidly after administration of ceftriaxone or other antibiotics. It may involve symptoms such as hypotension, difficulty breathing, swelling of the face or throat, and hives. Hypotension in this context is a serious sign of an allergic reaction and requires immediate intervention.
B. Polyuria can be caused by other factors such as diuretic medications, diabetes mellitus, or other metabolic conditions. It is not a common manifestation of an allergic reaction to ceftriaxone.
C. Nausea is a common side effect of many antibiotics, including ceftriaxone, due to gastrointestinal irritation. It does not typically indicate an allergic reaction unless it is accompanied by other symptoms such as rash, itching, or respiratory distress.
D. Bradycardia can occur due to other reasons such as medication side effects (e.g., beta-blockers), vagal stimulation, or underlying cardiac conditions. It is not a characteristic sign of an allergic reaction to ceftriaxone.
Correct Answer is C
Explanation
A. Amiodarone does not typically cause fever as a direct adverse effect. Fever may indicate an underlying infection or another unrelated condition.
B. Amiodarone is more likely to cause hypotension (low blood pressure) rather than hypertension. It can have a negative inotropic effect on the heart, leading to decreased cardiac output and potentially lowering blood pressure.
C. Bradycardia is a well-known adverse effect of amiodarone. Amiodarone can prolong the QT interval and affect the sinus node function, leading to bradycardia. It is important for nurses to monitor heart rate closely in clients taking amiodarone, as bradycardia can be symptomatic and may necessitate dose adjustment or discontinuation of the medication.
D. Amiodarone does not typically affect respiratory rate. Respiratory adverse effects associated with amiodarone include pulmonary toxicity, which manifests as pulmonary fibrosis or pneumonitis rather than bradypnea.
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