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 administration wh
a. "Aging increases the risk of having an allergic reaction to medication deliv-ered by patch."
b. "Since you have problems with digestion, this is a good way to take your medication."
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 application."
e. "Be sure to avoid placing the patch on injured skin."
ANS: A, B, C, E
Aging does increase the risk of developing an allergic reaction due to its affect on the im-mune system and decreased gastric motility. Transdermal medications bypass the gastroin-testinal tract and so do not cause digestion problem and their effectiveness is not affected by digestive problems. Demonstrating the application process is an excellent way to evaluate the client's understanding 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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