A 1-year-old child is prescribed a transdermal drug patch for pain control. To which site does the nurse apply the patch?
a. On the lower arm where changing the patch is easier
b. On the back between the shoulders so the child cannot reach it
c. On the upper chest so that any skin irritation can be seen quickly
d. On the leg between the knee and the thigh for fastest drug absorption
B
When a transdermal patch is placed in an area visible to a small child, he or she usually picks at it and may remove it. Placing it between the shoulders on the back removes it from the child's sight and attention. On a small child, circulation is not usually a problem and the drug would be as well absorbed from the back as from anywhere else.
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