A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. Which action should the nurse take?
Check for correct placement of the patch behind the client's ear.
Explain that the medication is not given to prevent pain.
Advise the client that the effects of the medication have worn off.
Offer to apply a new transdermal patch to relieve the pain.
The Correct Answer is B
A) Check for correct placement of the patch behind the client's ear: While ensuring correct placement is important for the effectiveness of transdermal patches, the scopolamine patch is primarily used for motion sickness and nausea, not for pain relief. Checking placement does not address the client's pain, which is not the intended use of the medication.
B) Explain that the medication is not given to prevent pain: Scopolamine is used to prevent nausea and motion sickness, not to manage pain. The client’s pain is unrelated to the patch’s intended purpose. Educating the client about the medication's purpose and recommending appropriate pain management would address the issue effectively.
C) Advise the client that the effects of the medication have worn off: The scopolamine patch's effects for nausea or motion sickness would not typically wear off within four hours. The medication was not intended to address pain, so advising the client about its effectiveness for nausea rather than pain would be more appropriate.
D) Offer to apply a new transdermal patch to relieve the pain: Applying a new patch would not be effective for pain management, as scopolamine is not designed for pain relief. Instead, the focus should be on addressing the client's pain with suitable analgesics and explaining the purpose of the scopolamine patch.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A) Provide a PRN NSAID for gum pain: Administering NSAIDs is not recommended as they can exacerbate bleeding risks in clients on anticoagulants. NSAIDs can interfere with platelet function and increase bleeding tendencies.
B) Complete a medication variance report: Documenting adverse effects and any discrepancies in medication administration is crucial for patient safety and quality control. A variance report helps track and address issues related to medication effects.
C) Review most recent coagulation lab values: Evaluating recent lab results is essential to determine if the anticoagulant dosage is appropriate and if there is an increased risk of bleeding. This information guides decisions about further interventions or adjustments to the medication regimen.
D) Report findings to healthcare provider: Immediate communication with the healthcare provider is necessary to address the client’s symptoms of bleeding and bruising. The provider can then evaluate the need for treatment modification or additional measures to manage bleeding risks.
E) Obtain a soft bristle toothbrush for client: A soft bristle toothbrush helps minimize gum irritation and bleeding, which is important for clients on anticoagulants to reduce the risk of oral bleeding and maintain oral health.
Correct Answer is C
Explanation
A. Hematocrit 42% (0.42 volume fraction):
A hematocrit of 42% is within the normal reference range for males (42% to 52%). While it is important to monitor hematocrit levels, this finding alone does not indicate an immediate issue.
B. Hemoglobin 13 g/dL (8.07 mmol/L):
A hemoglobin level of 13 g/dL is slightly below the normal range for males (14 to 18 g/dL). However, it is not critically low and may not require immediate intervention without additional context or symptoms.
C. Positive guaiac of stool:
A positive guaiac test for stool indicates the presence of occult blood in the stool, which could suggest gastrointestinal bleeding. Given the client's history of heartburn, indigestion, and use of ibuprofen (a nonsteroidal anti-inflammatory drug that can cause gastrointestinal bleeding), this finding is concerning and should be reported immediately to the healthcare provider for further evaluation and management.
D. Gastric pH 2.0:
A gastric pH of 2.0 is within the normal range for gastric acid, as the normal pH of gastric acid typically ranges from 1.5 to 3.5. This finding is expected and does not indicate an immediate problem related to the client's symptoms.
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