After teaching a client how to use an estradiol transdermal system, the nurse determines that the teaching was successful when the client states which of the following? Select all that apply
A) "I can put the patch on my breasts."
B) "I should rotate the sites, staying away from the same site for about a week."
C) "When I apply it, I should rub the patch vigorously for about 10 seconds."
D) "I apply the patch immediately after I open the pouch."
E) "If the area is oily or irritated, I need to avoid that area."
Ans: B, D
Feedback:
When using a transdermal system, the client should apply the system immediately after opening the pouch with the adhesive side down, applying it to the clean, dry skin of the buttocks, trunk, abdomen, upper inner thigh, or upper arm. The system should not be applied to the breasts, waistline, or a site exposed to sunlight. The area should not be oily or irritated. Once the patch is applied, the client should press on it firmly with the palm of the hand for about 10 seconds. The application site is rotated with at least 1-week intervals between applications to a particular site.
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