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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Platelet count: While a platelet count is important for assessing the risk of bleeding, it is not the primary laboratory test used to monitor the effectiveness of warfarin therapy.
B. Fibrinogen level: This test is more relevant in assessing clotting factors and conditions related to bleeding or clotting disorders, but it is not specific for monitoring warfarin.
C. aPTT: Activated partial thromboplastin time (aPTT) is primarily used to monitor unfractionated heparin therapy, not warfarin.
D. INR: The International Normalized Ratio (INR) is the key laboratory test used to monitor warfarin therapy. It indicates the blood's clotting tendency, and the provider will use this value to determine the appropriate dosage of warfarin. Therefore, it is crucial to report the INR to obtain the prescription for warfarin.
Correct Answer is B
Explanation
A) Limit intake of nuts and legumes: This is incorrect. Nuts and legumes are essential components of a vegan diet, providing important protein, healthy fats, and other nutrients. They should not be limited.
B) Choose foods high in vitamin B12: This is the correct answer. Vitamin B12 is primarily found in animal products, so vegans must seek fortified foods (such as plant-based milks and cereals) or consider supplements to meet their B12 needs, as deficiency can lead to serious health issues.
C) Choose high-fat cheese as a meat substitute: This is misleading. Vegans do not consume cheese, as it is an animal product. Instead, they should look for plant-based alternatives to meet their dietary needs.
D) Limit intake of foods high in vitamin C: This is incorrect. Foods high in vitamin C, such as fruits and vegetables, are encouraged in a vegan diet for overall health and to support the immune system. There is no reason to limit these foods.
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