A nurse is teaching a client about using transdermal scopolamine to treat motion sickness.
Which of the following instructions should the nurse include?

"Store unused patches in the refrigerator.”

"Apply the patch prior to traveling.”

"Place the patch on your upper arm.”

"Replace a dislodged patch onto the same location.”

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Storing unused patches in the refrigerator is not necessary for transdermal scopolamine patches. Refrigeration is not a requirement for their storage.

Choice B rationale:

Applying the patch prior to traveling is the correct choice. Transdermal scopolamine patches are used to prevent motion sickness. Applying the patch before the journey allows the medication to be absorbed before exposure to motion, ensuring its effectiveness during travel.

Choice C rationale:

Placing the patch on the upper arm is a specific and correct instruction for applying transdermal scopolamine patches. The patch should be placed on a clean, dry, and hairless area of the skin, preferably behind the ear or on the upper arm.

Choice D rationale:

Replacing a dislodged patch onto the same location is incorrect. If the patch becomes dislodged, it should be replaced with a new patch on a different, clean, and dry area of the skin. Reapplying a dislodged patch to the same spot may result in uneven absorption and reduced effectiveness.

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Correct Answer is D

Explanation

Choice A rationale:

Decreased temperature is not a typical sign of naloxone reversing the effects of an opioid overdose. Opioid overdose commonly leads to respiratory depression and hypoxia, but it does not significantly affect body temperature. Naloxone works by binding to the same receptors in the brain that opioids bind to, thereby reversing the effects of the overdose. The primary signs of successful reversal include improved respiratory rate and increased alertness, not changes in body temperature.

Choice B rationale:

Polyuria (excessive urination) is not a specific indicator of naloxone effectiveness. Opioid overdose and naloxone administration primarily affect the central nervous system and respiratory function, not urinary output. Naloxone's effects are more evident in the client's level of consciousness, respiratory rate, and overall responsiveness.

Choice C rationale:

Bradycardia (slow heart rate) is not an expected indicator of naloxone effectiveness. Opioid overdose typically causes respiratory depression, leading to a decreased respiratory rate and oxygen saturation. Naloxone works by reversing this respiratory depression and improving ventilation. Consequently, increased respiratory rate, not heart rate, is a more relevant indicator of naloxone's effectiveness in reversing opioid overdose.

Choice D rationale:

This is the correct answer. Increased respiratory rate is a key indicator that naloxone is reversing the effects of an opioid overdose. Opioid overdose depresses the respiratory system, leading to slow and shallow breathing. Naloxone, as an opioid receptor antagonist, rapidly reverses this effect, leading to a noticeable increase in the client's respiratory rate. Monitoring for improved breathing and increased oxygen saturation is crucial to assessing the effectiveness of naloxone in treating opioid overdose.

A. Banana slices B. Hot dog C. Grapes D. Popcorn

Correct Answer is A

Explanation

A. Correct. Banana slices are a soft and easily manageable food that encourages a toddler's independence in eating. They can be easily held by the toddler and self-fed.

B. Incorrect. Hot dogs are a choking hazard due to their shape and texture, which can increase the risk of choking in young children.

C. Incorrect. Grapes are also a choking hazard for young children, as they can easily block the airway if not cut into small pieces.

D. Incorrect. Popcorn is a choking hazard due to its size, shape, and hardness. It should be avoided in young children.

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A nurse is teaching a client about using transdermal scopolamine to treat motion sickness.Which of the following instructions should the nurse include?

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A nurse is teaching a client about using transdermal scopolamine to treat motion sickness.
Which of the following instructions should the nurse include?