The nurse administers pain medication to a client via a fentanyl transdermal patch. During nursing rounds 5 minutes later, the client states that "the patch fell off" and asks for a new one
What would be the appropriate nursing intervention in this situation? A) Administer a new patch.
B) Skip this dosage and administer a new patch when it is due again.
C) Ask the client to locate the old patch before administering a new one.
D) Report the incident to the primary care provider.
C
Feedback:
Some clients may say that their patch "fell off." It is important to make sure they do not have the old patch somewhere because some clients are seeking double doses of medications, particularly nicotine or pain medications.
You might also like to view...
A nurse is discussing the use of benzodiazepines as sedative-hypnotic agents with a group of nursing students. A student asks about the actions of these drugs in the central nervous system. The nurse makes which correct statement?
a. "Benzodiazepines affect the hippocampus and the cerebral cortex to cause antero-grade amnesia." b. "Benzodiazepines depress neuronal func-tions by acting at a single site in the brain." c. "Benzodiazepines induce muscle relaxa-tion by acting on sites outside the central nervous system." d. "Benzodiazepines promote sleep through effects on the limbic system."
Carl is being treated for PTSD after return from military combat. He also sustained a mild traumatic brain injury secondary to an explosive device while in combat
The nurse decides to conduct additional screening assessments on the basis of common comorbidities that occur with these conditions. Which of these screening assessments would be relevant? A. CAGE screen for alcohol abuse B. Beck Depression Inventory C. Mini Mental Status Exam D. All of the above
To assess for osteogenesis imperfecta, which laboratory result would the healthcare professional expect to find?
a. Increased phosphorus b. Decreased calcium c. Increased alkaline phosphatase d. Decreased total protein
Which food can be moderately consumed on a tyramine-restricted diet?
A) Gouda cheese B) Bananas C) Bologna D) Chocolate