A nurse is providing teaching about the use of transdermal fentanyl patches to a client. Which of the following statements by the client indicates an understanding of the teaching?
"I should fold the patch in half with the medication side touching before disposal."
"I should cut the patch in half before application."
"I should apply a heating pad to the patch when I have joint pain.”
"I will rotate the patch to a different extremity each day."
The Correct Answer is A
Choice A reason: Folding the patch in half with the medication side touching before disposal is correct because it prevents accidental exposure to residual medication. Fentanyl patches contain potent opioids, and improper disposal can lead to accidental ingestion or misuse. This practice ensures safety for both the client and others in the household.
Choice B reason: Cutting the patch in half is unsafe. Transdermal patches are designed to deliver medication at a controlled rate. Cutting them compromises the integrity of the delivery system, leading to unpredictable dosing and risk of overdose.
Choice C reason: Applying a heating pad to the patch is contraindicated. Heat increases absorption of fentanyl through the skin, which can result in toxic levels and respiratory depression. Clients should avoid external heat sources on or near the patch.
Choice D reason: Rotating the patch to a different extremity each day is incorrect. Patches should be applied to intact, non-irritated skin on the upper torso or upper arm, not rotated daily to extremities. Rotation is important, but it should be between recommended sites every 72 hours, not daily.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Survivors of prostate cancer are not the primary at-risk group for testicular cancer. Testicular cancer typically affects younger men, not those with prostate cancer.
Choice B reason: Benign prostatic hypertrophy occurs in older men and is unrelated to testicular cancer risk. Education for this group would not target the correct population.
Choice C reason: Older adults are not at increased risk for testicular cancer. This cancer most commonly affects men between ages 15–35, so pamphlets at a health fair for older adults would miss the target population.
Choice D reason: Young adults are the highest-risk group for testicular cancer. An information booth at a community resource fair for young adults would effectively reach the population most at risk, making this the correct answer.
Correct Answer is C
Explanation
Choice A reason: Encouraging the client to rest during the day is not appropriate. Daytime rest can worsen nighttime wakefulness and wandering. Clients with Alzheimer’s benefit from structured daytime activity to promote nighttime sleep.
Choice B reason: Asking the client why they continue to get out of bed is ineffective. Clients with Alzheimer’s often cannot provide logical explanations due to cognitive decline. This approach does not enhance safety.
Choice C reason: Moving the mattress to the floor is correct because it reduces the risk of injury if the client attempts to get out of bed or falls. This is a practical safety intervention for clients who wander or are restless at night.
Choice D reason: Keeping a television on at night introduces noise and light, which can increase agitation and confusion. It disrupts sleep and does not prevent wandering.
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