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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Avoid taking the medication on an empty stomach:
While it can be helpful to take lithium with food to minimize gastrointestinal upset, it is not the primary instruction for lithium use. The most important aspect of lithium therapy involves fluid balance and monitoring.

B. Keep medication fliers for frequent review and reference:
While reviewing medication information is useful, it is not as critical as maintaining appropriate fluid intake and monitoring for side effects specific to lithium.

C. Maintain a fluid intake of 1500 to 3000 mL per day:
This is crucial because lithium levels can be affected by changes in fluid balance. Inadequate fluid intake can lead to dehydration, which can increase lithium levels and the risk of toxicity. Therefore, maintaining adequate hydration is essential for safe lithium use.

D. Report fluctuations in weight to the healthcare provider:
While fluctuations in weight can be relevant for overall health monitoring, the more immediate concern with lithium therapy is to maintain proper fluid intake and monitor for signs of toxicity or dehydration.

A. Clients using the discus may experience decreased blood pressure. B. Explain that the client should not use the discus more than twice daily. C. When using the discus, have the client breathe out rapidly into the mouthpiece. D. Offer the discus to the client for use during an acute asthma attack.

Correct Answer is B

Explanation

A. Clients using the discus may experience decreased blood pressure:
Fluticasone propionate and salmeterol are a combination of a corticosteroid and a long-acting beta-agonist. While they help control asthma, they are not typically associated with decreased blood pressure. Instead, potential side effects might include increased heart rate or hypertension.

B. Explain that the client should not use the discus more than twice daily:
Fluticasone propionate and salmeterol combination inhalers are usually prescribed for twice-daily use to maintain control of asthma symptoms. Using the inhaler more frequently than prescribed could lead to increased side effects or diminished effectiveness.

C. When using the discus, have the client breathe out rapidly into the mouthpiece:
The correct technique for using a dry powder inhaler involves inhaling deeply and forcefully to ensure the medication reaches the lungs. Breathing out rapidly into the mouthpiece is incorrect and will not deliver the medication effectively.

D. Offer the discus to the client for use during an acute asthma attack:
The discus is used for long-term control and prevention of asthma symptoms, not for immediate relief during an acute asthma attack. A rescue inhaler, typically containing a short-acting beta-agonist like albuterol, is used for acute symptoms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing medication teaching to a client with bipolar disorder who receives a prescription for lithium carbonate. Which instruction should the nurse emphasize with the client?

Correct Answer is C

Explanation

To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?

Correct Answer is B

Explanation

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