An older client prescribed a transdermal morphine patch for severe chronic pain is being educated on the appropriate administration of the medication
The nurse shows an understanding of essential information regarding this route of drug admin-istration when stating: (Select all that apply.)
a. "This is an effective route for delivering small doses of medication over long peri-ods of time."
b. "Since you have problems with digestion, this is a good way to take your medica-tion."
c. "Please show me how you would apply your patch."
d. "Be careful to put the patch only on your chest but change locations with each ap-plication."
e. "Be sure to avoid placing the patch on in-jured skin."
ANS: A, B, C, E
Aging does increase the risk of developing an allergic reaction due to its effect on the immune system and decreased gastric motility. Transdermal medications bypass the gastrointestinal tract and so do not cause digestion problems, and their effectiveness is not affected by digestive problems. Demonstrating the application process is an excellent way to evaluate the client's un-derstanding and technique. Transdermal patches can be applied to areas other than the chest, such as the arms, backs, legs, and abdomen, but damaged skin should be avoided.
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A newly admitted homeless client diagnosed with schizophrenia states, "I have been living in a cardboard box for 2 weeks. Why did the government let me down?" Which is an appropriate nursing reply?
A. "Your discharge from the state hospital was done prematurely. Had you remained in the state hospital longer, you would not be homeless." B. "Your premature discharge from the state hospital was not intended for patients diagnosed with chronic schizophrenia." C. "Your discharge from the state hospital was based on firm principles; however, the resources were not available to make the transition a success." D. "Your discharge from the state hospital was based on presumed family support, and this was not forthcoming."