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 D

Explanation

A) "Increased erythrocyte sedimentation rate.": An increase in the erythrocyte sedimentation rate (ESR) indicates inflammation or the presence of disease but does not reflect a response to epoetin alfa, which aims to increase red blood cell production.

B) "Increased neutrophil count.": Epoetin alfa primarily stimulates erythropoiesis (red blood cell production) and does not significantly affect neutrophil counts. Therefore, an increased neutrophil count is not a relevant therapeutic response.

C) "Increased platelet count.": Epoetin alfa is not directly aimed at increasing platelet counts. While it can have some indirect effects on platelets due to increased hematocrit, a higher platelet count alone does not indicate a therapeutic response to this medication.

D) "Increased hemoglobin level.": An increased hemoglobin level is the primary therapeutic target of epoetin alfa. This medication is used to treat anemia, particularly in patients with chronic kidney disease or those undergoing chemotherapy, by stimulating the production of red blood cells and thus raising hemoglobin levels.

A. Take a hot shower every day. B. Limit dietary intake of phosphorus. C. Place a large pillow under the knees when sleeping. D. Place an ice pack directly on the skin of the affected joints.

Correct Answer is A

Explanation

A. Take a hot shower every day: This is a beneficial nonpharmacological pain management technique for clients with osteoarthritis. Warm water can help relax muscles and soothe joint stiffness, providing relief from pain.

B. Limit dietary intake of phosphorus: This is not directly related to pain management in osteoarthritis. While managing overall nutrition is important, phosphorus specifically does not need to be limited unless there are other underlying health conditions.

C. Place a large pillow under the knees when sleeping: This instruction may not be optimal. While some support can be helpful, using a pillow under the knees can cause misalignment of the spine. A more neutral sleeping position is generally recommended.

D. Place an ice pack directly on the skin of the affected joints: Applying ice directly to the skin can cause frostbite or skin damage. It's better to use a cloth or towel as a barrier when applying an ice pack to avoid direct contact and protect the skin.

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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

A nurse is evaluating the laboratory values of a client who is receiving epoetin alfa. Which of the following findings indicates a therapeutic response to the medication?

Correct Answer is D

Explanation

A nurse is providing teaching about nonpharmacological pain management to a client who has osteoarthritis. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

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