After teaching a client how to use an estradiol transdermal ...

[cagreen833]

After teaching a client how to use an estradiol transdermal system, the nurse determines that the teaching was successful when the client states which of the following? Select all that apply.
 
  A) I can put the patch on my breasts.
  B) I should rotate the sites, staying away from the same site for about a week.
  C) When I apply it, I should rub the patch vigorously for about 10 seconds.
  D) I apply the patch immediately after I open the pouch.
  E) If the area is oily or irritated, I need to avoid that area.

Question 2

A nurse identifies a nursing diagnosis of Impaired Mucous Membranes based on the client's complaints of dry mouth for a client with urge incontinence who is receiving drug therapy.
 
  The nurse would most likely identify this nursing diagnosis as related to the use of which of the following?
 
  A) Sildenafil
  B) Fesoterodine
  C) Dutasteride
  D) Silodosin

[Danny Ewald]

Answer to Question 1

Ans: B, D
Feedback:
When using a transdermal system, the client should apply the system immediately after opening the pouch with the adhesive side down, applying it to the clean, dry skin of the buttocks, trunk, abdomen, upper inner thigh, or upper arm. The system should not be applied to the breasts, waistline, or a site exposed to sunlight. The area should not be oily or irritated. Once the patch is applied, the client should press on it firmly with the palm of the hand for about 10 seconds. The application site is rotated with at least 1-week intervals between applications to a particular site.

Answer to Question 2

Ans: B
Feedback:
Fesoterodine is an antispasmodic that can cause dry mouth. Sildenafil, dutasteride, and silodosin are not associated with this adverse reaction.

[cagreen833]

Excellent

[kswal303]

TYSM