A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse take?

Apply the patch within 1 hr of removing it from the protective pouch.

Shave hairy areas of skin prior to application.

Wear gloves to apply the patch to the client's skin.

Remove the previous patch and place it in a tissue.

Answer and Explanation

The Correct Answer is C

A.   Transdermal nicotine patches should be applied immediately after removal from the protective pouch, but waiting for up to 1 hour is acceptable according to most manufacturers' instructions.
B.   Shaving hairy areas of skin is not necessary prior to applying a transdermal nicotine patch and may cause skin irritation.
C.   Wearing gloves during the application of the transdermal nicotine patch helps to prevent nicotine absorption through the nurse's skin and reduces the risk of accidental exposure.
D.   The nurse should properly dispose of the previous patch according to facility protocols rather than placing it in a tissue, as used nicotine patches can still contain active medication and pose a risk of exposure.

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Correct Answer is C

Explanation

A. While a temperature elevation in a client with Clostridium difficile requires assessment, it is not as urgent as potential cardiac ischemia.
B. Pain assessment in a client with a femur fracture is important but does not take priority over potential cardiac issues.
C. Left shoulder pain with S-T elevation on an ECG can indicate myocardial infarction (MI), a life-threatening condition requiring immediate assessment and intervention.
D. Orthostatic hypotension and pitting edema, while concerning, do not indicate an acute, life-threatening condition that requires immediate assessment in this scenario.

A. Choose foods high in vitamin B12- B. Choose high-fat cheese as a meat substitute. C. Limit intake of nuts and legumes. D. Limit intake of foods high in vitamin C.

Correct Answer is A

Explanation

A. Since vitamin B12 is primarily found in animal products, clients following a vegan diet should be advised to consume fortified foods or supplements containing vitamin B12 to prevent deficiency.
B. High-fat cheese is not a suitable meat substitute for individuals following a vegan diet, as it is an animal-derived product.
C. Nuts and legumes are valuable sources of protein and other nutrients in a vegan diet and should not be limited unless there are specific dietary restrictions or preferences.
D. Foods high in vitamin C are beneficial for overall health, but limiting them is not necessary for individuals following a vegan diet.

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A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse take?

Nursing Test Bank

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