A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse take?

Apply the patch within 1 hr of removing it from the protective pouch.

Shave hairy areas of skin prior to application.

Wear gloves to apply the patch to the client's skin.

Remove the previous patch and place it in a tissue.

Answer and Explanation

The Correct Answer is C

A.   Transdermal nicotine patches should be applied immediately after removal from the protective pouch, but waiting for up to 1 hour is acceptable according to most manufacturers' instructions.
B.   Shaving hairy areas of skin is not necessary prior to applying a transdermal nicotine patch and may cause skin irritation.
C.   Wearing gloves during the application of the transdermal nicotine patch helps to prevent nicotine absorption through the nurse's skin and reduces the risk of accidental exposure.
D.   The nurse should properly dispose of the previous patch according to facility protocols rather than placing it in a tissue, as used nicotine patches can still contain active medication and pose a risk of exposure.

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Correct Answer is C

Explanation

A. Determine the need for additional providers: Determining the need for additional providers is typically the responsibility of the hospital administration or incident command team, not the unit nurse.

B. Act as a spokesperson to provide information to the media: Communication with the media is managed by designated public relations personnel or a hospital spokesperson, not the unit nurse.

C. Recommend to the provider a list of clients for early discharge: The unit nurse is responsible for assessing which clients are stable enough for discharge and communicating these recommendations to the provider. This helps prioritize bed availability and ensures appropriate allocation of resources during a disaster.

D. Decide which clients should be transported for a higher level of care: This decision is typically made by the disaster management team or the provider, with input from the nurse. Nurses may report clinical details to help inform the decision but do not make the final determination.

A. Uneven shoulder and pelvic heights B. Mild pain in the hip region C. Exaggerated curvature of the sacrum D. Limited range-of-motion of the hips

Correct Answer is A

Explanation

A. Uneven shoulder and pelvic heights are classic signs of scoliosis, visible during a physical examination where one shoulder or hip may appear higher than the other.
B. Mild pain in the hip region is not a specific indicator of scoliosis.

C. Exaggerated curvature of the sacrum is not a specific indicator of scoliosis.

D. Limited range-of-motion of the hips is not a specific indicator of scoliosis

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A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse take?

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