The spouse of a patient with Alzheimer's disease asks a nurse for more information about the rivastigmine (Exelon) transdermal patch that is being used. Which statement by the spouse indicates a need for further explanation?
a. "Doses are lower but more steady with the transdermal patch."
b. "Reduced side effects occur with the transdermal patch."
c. "We only need to change the patch every 2 weeks."
d. "We should remove the old patch before applying the new one."
ANS: C
The rivastigmine transdermal patch needs to be changed daily. Sites used should not be reused for 14 days. Transdermal dosing provides lower, steady levels of the drug. Intensity of side effects is lower with the transdermal patch. The old patch must be removed prior to applying the new patch to prevent toxicity.
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