A patient with metastatic cancer is being admitted for pain control. Which action will the nurse perform in administering a transdermal patch?
a. After removal, dispose of the old patch in a receptacle in the patient's room.
b. Change the fentanyl patch every day, either in the morning or at bedtime.
c. Hold the short-acting oral pain medication when a fentanyl patch is initiated.
d. Label the patch with date, time, dosage, and initials after patch placement.
ANS: D
Labeling is appropriate when transdermal disks are placed. Patches are to be disposed of in a receptacle on the medication cart, not in the patient's room. Fentanyl patches are changed every 72 hours. Fentanyl patches take up to 12 hours to be effective; therefore, short-acting pain medication is continued.
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