A nurse is providing discharge teaching to a client who has cancer and a prescription for a fentanyl 25 mcg/hr transdermal patch. Which of the following instructions should the nurse include in the teaching?
"Remove the patch for 8 hours every day to reduce the risk of tolerance."
"Avoid hot tubs while wearing the patch."
"Avoid high-fiber foods while taking this medication."
"Apply the patch to your forearm."
The Correct Answer is B
A. "Remove the patch for 8 hours every day to reduce the risk of tolerance.": This is incorrect. The fentanyl patch should be left in place continuously for the prescribed duration to maintain consistent pain relief and should not be removed unless instructed by a healthcare provider.
B. "Avoid hot tubs while wearing the patch.": This is an important instruction. Heat can increase the absorption of fentanyl from the patch, potentially leading to overdose. Therefore, avoiding hot tubs and other heat sources is crucial while using the patch.
C. "Avoid high-fiber foods while taking this medication.": This statement is not accurate. In fact, opioid medications like fentanyl often cause constipation, so high-fiber foods can be beneficial to help prevent this side effect.
D. "Apply the patch to your forearm.": This is not typically the recommended application site for fentanyl patches. They are usually applied to hairless areas of the upper body or upper outer arm, where they can adhere properly and be effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Premature Infant Pain Profile (PIPP): This scale is specifically designed for assessing pain in preterm infants and may not be suitable for a newborn delivered at 38 weeks of gestation.
B. FACES pain rating scale: This scale is typically used for older children who can understand and relate to facial expressions, making it inappropriate for assessing pain in newborns.
C. Visual analog scale (VAS): This scale is also not suitable for newborns, as it requires the ability to understand and interpret a continuous scale, which newborns cannot do.
D. Neonatal Infant Pain Scale (NIPS): This is the most appropriate choice for assessing pain in a newborn. It evaluates indicators such as facial expression, cry, breathing patterns, and extremity movement, making it suitable for this age group and context.
Correct Answer is B
Explanation
A) "I can use natural-skin condoms to prevent sexually transmitted infections.": This statement is incorrect. Natural-skin condoms (made from lambskin) are effective for pregnancy prevention but do not provide protection against sexually transmitted infections (STIs). For STI prevention, latex or polyurethane condoms should be used.
B) "I can store the condoms in the drawer of my nightstand.": This statement demonstrates an understanding of proper condom storage. Storing condoms in a cool, dry place, such as a drawer, helps prevent damage from heat and friction, ensuring their effectiveness when used.
C) "I can use petroleum jelly as a lubricant with the condom.": This statement is incorrect because petroleum jelly can degrade latex condoms, increasing the risk of breakage. Water-based or silicone-based lubricants are recommended for use with latex condoms to maintain their integrity.
D) "I can re-use the condom one time after initial use.": This statement is incorrect. Condoms are designed for single use only and should not be re-used. Re-using a condom increases the risk of breakage and reduces effectiveness in preventing pregnancy and STIs.
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