The nurse is caring for a patient who has been involved in a motor vehicle crash. The health care provider has written orders for a transdermal patch for pain to be applied for steady pain control. The nurse knows that
1. the transdermal patch should not be applied to areas of abrasion.
2. transdermal medications undergo the first-pass effect in the liver.
3. transdermal medications completely bypass digestive enzymes.
4. the actual dose received by the patient from this pain patch may vary.
5. transdermal patches are not considered an effective means of delivering medications because the rate of delivery and actual dose can vary.
Correct Answer: 1,3,4
Rationale 1: Applying transdermal patches to skin that has abrasions may unintentionally increase the dose of the medication.
Rationale 2: Transdermal medications avoid the first-pass effect.
Rationale 3: Transdermal medications never come into contact with digestive enzymes but go straight into the bloodstream.
Rationale 4: While transdermal patches do contain a specific amount of medication, the rate of delivery may vary for each patient.
Rationale 5: It is true that the rate of delivery and actual dose received can vary, but this route is an effective means of delivering many medications such as birth control medications and nitroglycerin for angina.
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The mother of a 9-year-old child just diagnosed with Guillain-Barré syndrome asks the nurse to tell her about this disease. Which of the following statements by the nurse would be accurate?
1. "This is a relatively rare congenital disorder inherited from both parents." 2. "This disorder is most common in adults, but occasionally is found in children." 3. "The disease is characterized by temporary paralysis that begins in the feet." 4. "Diarrhea and vomiting are common problems to look for early on."
Carrie, the manager of the pediatric floor, is being evaluated by her director. Carrie set goals last year such as increasing patient satisfaction on her unit by 20% and decreasing staff turnover by 10%
Carrie's performance appraisal today is based on how well she achieved those goals. This type of performance appraisal is called: a. just culture. b. peer review. c. 360-degree evaluation. d. management by objectives.
Following a craniotomy for the removal of a brain tumor, the patient exhibits nuchal rigidity, rash on the chest, headache, and a positive Brudzinski sign. What do these assessment findings indicate to the nurse?
a. Intracranial bleeding b. Encephalitis c. Increasing intracranial pressure d. Meningitis
Convert 8.4 gr to milligrams: _________ (use appropriate unit notation)
Fill in the blank(s) with correct word