Author Question: While preparing to administer a transdermal estrogen patch, the nurse finds the previously applied ... (Read 47 times)

P68T · **on:** Jul 23, 2018

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?

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.

Question 2

While preparing to administer an eye ointment, the nurse inadvertently squeezes the tube, discarding the first bead of medication. What action should the nurse take at this point?

1. Administer the eye ointment as ordered, as the first bead of ointment should be discarded anyway.
2. Notify the pharmacy and request a new, unopened tube of ointment.
3. Have a second licensed nurse witness the waste and sign the chart.
4. Continue to squeeze the tube until a clear line of ointment has been discarded from the tip.

meganlapinski · **Reply #1 on:** Jul 23, 2018

Answer to Question 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.

Answer to Question 2

Correct Answer: 1
Rationale 1: The nurse should administer the eye ointment as ordered as the first bead of ointment is considered contaminated and should always be discarded.
Rationale 2: There is no need to notify the pharmacy for a new tube of ointment.
Rationale 3: There is no need to have the wastage witnessed by another nurse.
Rationale 4: It is necessary to discard only the first bead of ointment, not an entire line.