While preparing to administer a transdermal estrogen patch, the nurse finds the previously applied patch in the client's bed linens. How can the nurse avoid this situation with the patch now being applied?

Question

1. Shave the area where the patch is being applied.
2. Place a heating pad over the area where the patch is applied for 10 minutes after application.
3. Run a finger around the adhesive edges of the new patch before placing it on the client's skin.
4. Press firmly over the patch with the palm of the hand for about 10 seconds after applying it to the skin.

Answer 1

Correct Answer: 4
Rationale 1: If hair is a problem in keeping the patch on, choose a less hairy site for application or clip (do not shave) the hair.
Rationale 2: Placement of a heating pad is contraindicated as the heat could increase circulation and the rate of absorption.
Rationale 3: Avoid touching the adhesive edges of the patch prior to placing it on the skin.
Rationale 4: In order to affix the patch firmly to the client's skin, press firmly over the patch with the palm of the hand for about 10 seconds after application.