The client will be taking scopolamine (Transderm-Scop) in his home setting for prevention of motion sickness. In teaching the client how to properly administer the medication, what is the nurse's highest priority instruction?
a. Two patches can be worn at the same time for overwhelming symptoms.
b. The patch should be applied behind the ear at least 4 hours before the journey.
c. The patch can be worn for as long as 10 days and still be effective.
d. The client should wash his hands before applying the patch.
ANS: B
The patch should be applied behind the ear at least 4 hours before the expected journey. Only one patch should be worn at a time; hands should be washed after application; and the patch maintains effectiveness for only 3 days.
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Shock is a life-threatening condition occurring in a body when oxygen to tissues and cells are inadequate, usually from disrupted blood flow
Shock develops in three stages or events for one reason or another; blood volume decreases, which then causes the heart to fail as a pump, causing blood vessels to dilate peripherally, leading the body to try to compensate. As compensation ensues, shock progresses, and if left uncorrected, organs become damaged and death is ultimate. a. What are the four types of shock and how do they affect the body? b. What are the three categories of distributive shock? c. What are the stages of shock?
Which statement made by the client getting ready for discharge after a solid organ transplant indicates the need for clarification of the post-transplant drug regimen?
A. "If I develop an infection, I should stop taking my prednisone." B. "If I have tenderness over the area of the transplant, I will call the transplant team immediately." C. "I should avoid people who are ill or who have an infection because I am some-what immunosuppressed now." D. "I should mix my cyclosporine exactly the way I was taught because it won't work as well if I change the routine."
Medications administered transdermally are placed
A. under the tongue. B. in the ear. C. in the eye. D. on the skin.
A 3.8-kg infant was delivered vaginally at 39 weeks after a 30-minute second stage. There was a nuchal cord
After birth the infant is noted to have petechiae over the face and upper back. Information given to the infant's parents should be based on the knowledge that petechiae: a. Are benign if they disappear within 48 hours of birth. b. Result from increased blood volume. c. Should always be further investigated. d. Usually occur with forceps delivery.