A client calls the clinic and reports that her contraceptive transdermal patch (Ortho-Evra) fell off while she was swimming in the ocean, and she is unable to find it. What advice should the nurse give to this client?
1. "Put a new patch on as soon as possible."
2. "You don't need to worry. The medication will remain in your system until it is time for you to put on a new patch."
3. "Use another form of birth control until it is time for you to put your next new patch on."
4. "Cut a new patch in half and put it on your shoulder."
Correct Answer: 3
Rationale 1: The client should not put on a new patch, because each patch contains a full dosage of hormones.
Rationale 2: After a patch is removed, hormone levels return to normal in 3 days.
Rationale 3: The client should use another form of birth control until it is time for a new patch.
Rationale 4: The patches should never be cut or changed in any way.
Global Rationale: The client should use another form of birth control until it is time for a new patch. The client should not put on a new patch, because each patch contains a full dosage of hormones. After a patch is removed, hormone levels return to normal in 3 days. The patches should never be cut or changed in any way.
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Fill in the blank(s) with the appropriate word(s).