The nurse is applying a new nitroglycerin transdermal patch. Which action by the nurse is appropriate?
a. Instructing the patient to wear the patch 24 hours a day every day
b. Applying the new patch to the same site as the previous patch
c. Cutting the patch in half when a change of dose is ordered
d. Instructing the patient to avoid heat sources over the patch
D
Heat sources over a transdermal patch can increase the rate of absorption, leading to potentially serious adverse effects. It is recommended to have a daily "patch-free" interval of 10 to 12 hours because tolerance develops if patches are used 24 hours a day every day. The patch should not be applied to previously used sites for at least 1 week. Transdermal patches are never to be cut in half. A change in dosage requires a new prescription.
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The highest "at risk" clients for anaphylactic shock include clients with which type of medication allergy?
a. Benadryl c. Coumadin b. Aspirin d. Penicillin
Of all the benefits of using nursing diagnoses, which one is probably the most important to nurses?
A) defining the domain of nursing practice B) informing patients of their care C) improving communication among nurses D) structuring curricular content
A client is receiving Dilantin to prevent seizure activity. To which allied health care professional should the nurse refer this client in order to minimize the challenges this condition creates?
1. Physical therapist 2. Physician's assistant 3. Respiratory therapist 4. Occupational therapist
The nurse identifies which of the following as a homeostatic mechanism?
1. The client's heart rate increases when walking up a flight of stairs. 2. Shivering when core body temperature drops. 3. A child's bone growth occurs in spurts. 4. Decreased secretion of insulin when food is not ingested. 5. Lactation in a pregnant woman.