What is the most important precaution for the nurse to teach a patient who is prescribed transdermal rivastigmine (Exelon)?

a. Always remove old patches daily and apply the new patch to a different site.
b. Report any difficulty starting the urinary stream to your prescriber immediately.
c. Place the patch on the neck or forehead so that the drug reaches the brain more quickly.
d. For best drug absorption, hold a warm wet washcloth over the patch for 5 minutes after applying it.


A
As for any drug delivered by transdermal patch, the old patch should be removed before applying the new one to prevent a drug overdose. The patches can irritate the skin and should not be replaced in the same position as the previous patch. Rotating sites prevents skin irritation and breakdown. Applying the patch closer to the brain does not increase brain absorption of the drug.

Nursing

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Nursing

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Nursing