A nurse is providing discharge teaching to a client who has cancer and a prescription for a fentanyl 25 mcg/hr transdermal patch. Which of the following instructions should the nurse include in the teaching?

"Remove the patch for 8 hours every day to reduce the risk of tolerance."

"Avoid hot tubs while wearing the patch."

"Avoid high-fiber foods while taking this medication."

"Apply the patch to your forearm."

Answer and Explanation

The Correct Answer is B

A. "Remove the patch for 8 hours every day to reduce the risk of tolerance.": This is incorrect. The fentanyl patch should be left in place continuously for the prescribed duration to maintain consistent pain relief and should not be removed unless instructed by a healthcare provider.

B. "Avoid hot tubs while wearing the patch.": This is an important instruction. Heat can increase the absorption of fentanyl from the patch, potentially leading to overdose. Therefore, avoiding hot tubs and other heat sources is crucial while using the patch.

C. "Avoid high-fiber foods while taking this medication.": This statement is not accurate. In fact, opioid medications like fentanyl often cause constipation, so high-fiber foods can be beneficial to help prevent this side effect.

D. "Apply the patch to your forearm.": This is not typically the recommended application site for fentanyl patches. They are usually applied to hairless areas of the upper body or upper outer arm, where they can adhere properly and be effective.

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Correct Answer is C

Explanation

A) Using the results of the glycosylated hemoglobin (HbA1c) test daily to modify insulin dosage is not accurate. The HbA1c reflects average blood glucose levels over the past 2-3 months and is not intended for immediate adjustments to insulin therapy.

B) Drinking a glucose solution is not necessary for the HbA1c test. This test measures the percentage of hemoglobin that is glycated and does not require any specific preparation like glucose ingestion.

C) Using this test to monitor how well blood glucose levels are controlled is accurate. The HbA1c test provides a long-term view of blood glucose control, helping both the client and healthcare provider assess the effectiveness of diabetes management strategies over time.

D) Fasting is not required prior to the HbA1c test. Unlike other glucose tests, the HbA1c can be performed at any time without fasting, making it a convenient option for ongoing monitoring.

A. Use a syringe to allow the medications to flow by gravity. B. Dissolve the medications together. C. Add medication directly to enteral feeding. D. Flush the NG tube with 5 mL water.

Correct Answer is A

Explanation

A. Use a syringe to allow the medications to flow by gravity: This is the appropriate action. Using a syringe for medication administration allows for precise control of the flow rate and ensures that the medications can be delivered effectively without causing complications, such as clogging the tube.

B. Dissolve the medications together: Combining medications can lead to interactions or precipitation, which may compromise their effectiveness. Each medication should be administered separately to ensure proper absorption and avoid potential adverse reactions.

C. Add medication directly to enteral feeding: This practice is not recommended, as mixing medications with enteral feeding can alter the medication's effectiveness and may affect the feeding’s nutrient absorption. Medications should be administered separately from enteral feeds.

D. Flush the NG tube with 5 mL water: While flushing the NG tube is necessary, 5 mL may not be sufficient for proper flushing. Typically, a larger volume (e.g., 20-30 mL) is recommended to ensure the tube is clear before and after medication administration. Flushing is important but should follow the appropriate volume guidelines.

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A nurse is providing discharge teaching to a client who has cancer and a prescription for a fentanyl 25 mcg/hr transdermal patch. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is A

Explanation

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