A patient with chronic pain is being started on a "patch."
What should the nurse include when instructing the patient about this pain-relieving delivery system? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. It will not work as well as oral pain medications.
2. Do not apply heat over the area where the patch is placed.
3. The patient will never experience breakthrough pain.
4. The patient will never overdose with this delivery method.
5. Do not massage the area where the patch is placed.
2,5
Rationale 1: The continuous dosage of the transdermal or "patch" form of medication is an advantage over oral medications.
Rationale 2: Application of heat or massaging the skin increases blood flow to the area, resulting in rapid absorption and potential overdose.
Rationale 3: Additional short-acting medication is often needed for breakthrough pain.
Rationale 4: Overdose can occur with this route.
Rationale 5: Massaging the area where the patch is placed can increase blood flow to the area, resulting in rapid absorption and potential overdose.
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