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A client is prescribed oxybutynin in a transdermal form. The nurse would instruct the client to apply the patch to which area? Select all that apply.

Abdomen

Buttocks

Hip

Forehead

Thigh

Back

Chest

Neck

Answer and Explanation

Correct Answer : A,B,C,E,F

A. Abdomen: The abdomen is one of the approved areas for applying a transdermal oxybutynin patch.

B. Buttocks: The buttocks are another approved site for the transdermal patch.

C. Hip: The hip is an appropriate site for applying a transdermal patch.

E. Thigh: The thigh is a recommended site for patch application.

F. Back: The back is another acceptable site for the transdermal patch.

D. Forehead: The forehead is not an approved site for applying a transdermal oxybutynin patch.

G. Chest: The chest is generally not an approved site for oxybutynin patch application.

H. Neck: The neck is not an appropriate site for this patch.

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Correct Answer is C

Explanation

A. Dopamine receptors: Dopamine receptors are involved in the regulation of movement and mood but are not the primary receptors affected by oxybutynin.

B. Beta adrenergic receptors: Beta adrenergic receptors are involved in smooth muscle relaxation, but oxybutynin targets the muscarinic receptors.

C. Muscarinic receptors: Oxybutynin works by blocking muscarinic receptors in the bladder, thereby reducing overactive bladder symptoms like urgency and frequency.

D. Alpha adrenergic receptors: These receptors are involved in vasoconstriction and are not the primary target of oxybutynin.

A. I will apply a new patch every day to ensure continuous medication levels. B. I will apply the patch to my abdomen, hips, or buttocks and change it every 3 to 4 days. C. I will take this medication orally with a full glass of water. D. I will place the patch on my chest or upper arms for best absorption.

Correct Answer is B

Explanation

A. I will apply a new patch every day to ensure continuous medication levels: This is incorrect. The patch should be changed every 3 to 4 days, not daily.

B. I will apply the patch to my abdomen, hips, or buttocks and change it every 3 to 4 days: This is correct. Transdermal oxybutynin patches should be applied to the specified areas (abdomen, hips, or buttocks) and changed every 3 to 4 days.

C. I will take this medication orally with a full glass of water: This statement is incorrect as it refers to oral oxybutynin, not the transdermal form.

D. I will place the patch on my chest or upper arms for best absorption: This is incorrect as the patch should be placed on the abdomen, hips, or buttocks for optimal absorption.

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A client is prescribed oxybutynin in a transdermal form. The nurse would instruct the client to apply the patch to which area? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is describing how oxybutynin exerts its effect to a client receiving it as treatment for overactive bladder. An understanding of which receptor would the nurse integrate into the description?

Correct Answer is C

Explanation

Which statement by the client indicates an understanding of the administration of transdermal oxybutynin?

Correct Answer is B

Explanation

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