A patient with chronic back pain has a new order for a fentanyl (Duragesic) patch. As the nurse applies the patch, the patient states, "I'm really glad to get that patch on. I am really hurting bad." Which response by the nurse is correct?
a. "You should feel some relief of your pain within about half an hour."
b. "The patch may take a while to work. Would you like a pain shot in the meantime?"
c. "Other analgesics can't be given while the patch is on, so try to bear it until it takes effect."
d. "Because it is absorbed right through the skin, you will feel relief within minutes after I apply this patch."
ANS: B
It may take 12 to 16 hours for a patch to provide an effective level of pain relief, and the patient may require an immediate-release form of pain medication until that time. It is appropriate to administer a short-acting agent while waiting for the patch to take effect.
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