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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bubble baths can increase the risk of urinary tract infections (UTIs) and should be avoided, especially after intercourse.
B. Drinking plenty of water is beneficial for urinary tract health, but a specific amount (four glasses) may not be necessary for all individuals.
C. Correct. Wearing loose-fitting underwear allows better airflow and decreases moisture, reducing the risk of UTIs.
D. Voiding every 5 to 6 hours is a general guideline for healthy bladder habits, but it may not directly prevent recurrent UTIs.
Correct Answer is ["A","B","C","E"]
Explanation
Client reports lower back pain and pinkish vaginal discharge.
- Explanation: Lower back pain and pinkish discharge can indicate preterm labor, especially given the client’s history of a previous preterm birth.
Uterine contractions every 8 minutes, palpate strong, duration 30 seconds.
- Explanation: Frequent and strong contractions suggest that labor may be progressing, which is concerning at 33 weeks gestation and needs close monitoring.
FHR baseline 145, minimal variability.
- Explanation: Minimal variability in the fetal heart rate (FHR) can be a sign of fetal distress or a lack of fetal well-being, warranting further evaluation.
Cervical exam indicates 2 cm, 50% effaced, 0 station.
- Explanation: Cervical dilation and effacement at 33 weeks gestation indicate that labor is progressing. Given the client's history of preterm birth, this finding is concerning and requires intervention to try to prevent another preterm delivery.
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