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 ["200"]
Explanation
Calculations:
Total volume of the IV bag = 200 mL
Infusion time = 1 hour
To calculate the infusion rate in mL/hr, we use the formula:
Infusion rate (mL/hr) = Total volume (mL) / Infusion time (hours)
Infusion rate (mL/hr) = 200 mL / 1 hour = 200 mL/hr
Therefore, the nurse should program the infusion pump to deliver 200 mL/hr.
Correct Answer is C
Explanation
A) Adding the herb can decrease the need for corticosteroids: There is no substantial evidence that St. John’s Wort affects the need for corticosteroids. Its primary interactions are with medications metabolized by the liver, particularly cyclosporine, rather than affecting corticosteroid requirements directly.
B) Ingestion of St. John's Wort can reduce the client's intake of sodium: St. John’s Wort does not impact sodium intake. Its known interactions are with drugs, particularly those metabolized by the liver, rather than affecting dietary intake or sodium levels.
C) St. John's Wort can decrease plasma concentrations of cyclosporine: St. John’s Wort is a potent inducer of cytochrome P450 enzymes, which can lead to decreased plasma levels of cyclosporine, an immunosuppressant crucial for preventing graft rejection. This interaction can result in subtherapeutic levels of cyclosporine and increase the risk of graft rejection.
D) The client probably used this herb to treat depression: While it is true that St. John’s Wort is commonly used for its antidepressant effects, this is not the most significant concern in the context of a renal transplant. The primary issue is its interaction with cyclosporine, which can significantly impact transplant outcomes.
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