Author Question: A patient with metastatic cancer is being admitted for pain control. Which action will the nurse ... (Read 27 times)

ahriuashd · **on:** Jul 24, 2018

A patient with metastatic cancer is being admitted for pain control. Which action will the nurse perform in administering a transdermal patch?

a. After removal, dispose of the old patch in a receptacle in the patient's room.
b. Change the fentanyl patch every day, either in the morning or at bedtime.
c. Hold the short-acting oral pain medication when a fentanyl patch is initiated.
d. Label the patch with date, time, dosage, and initials after patch placement.

Question 2

Which is an accurate nursing action when treating a patient's rash with a lotion?

a. Avoid shaking the container prior to application.
b. Cleanse area with alcohol prior to treatment.
c. Cover the area with gauze because of the oil base.
d. Pat on the area with a gloved hand.

Amiracle · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: D
Labeling is appropriate when transdermal disks are placed. Patches are to be disposed of in a receptacle on the medication cart, not in the patient's room. Fentanyl patches are changed every 72 hours. Fentanyl patches take up to 12 hours to be effective; therefore, short-acting pain medication is continued.

Answer to Question 2

ANS: D
To prevent increased circulation and itching, lotions should be gently but firmly patted on the skin, rather than rubbed in. Shake all lotions thoroughly immediately before application. Lotions are aqueous and are easily cleansed with water. Lotions are not oil based.