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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A) Direct statements to the interpreter: The nurse should speak directly to the client rather than the interpreter. While the interpreter facilitates communication, maintaining direct eye contact and addressing the client fosters a more personal and respectful interaction.

B) Pause in the middle of sentences: Pausing mid-sentence can confuse both the interpreter and the client, potentially leading to misunderstandings. It’s better to complete thoughts and allow the interpreter to relay the information in full.

C) Speak in a normal voice at a natural pace: This action is appropriate as it ensures that the client can understand the information being communicated. Speaking normally allows the interpreter to accurately convey the message without distortion or misinterpretation, which is essential for effective communication.

D) Use gestures when speaking with the client: While gestures can help with communication, they should be used carefully, as they may not always translate effectively across cultures. Relying too much on gestures can lead to misunderstandings or misinterpretations of the intended message. It's best to use clear verbal communication first, supplemented by gestures only as needed.

A. "Use a cane when walking to maintain your balance." B. "Engage in a rigorous exercise program to maintain muscle tone." C. "Plan to take a hot bath once a week to reduce stress." D. "Place a scatter rug in your bathroom to prevent falling."

Correct Answer is A

Explanation

A. "Use a cane when walking to maintain your balance.": This statement is appropriate. Using a cane can help clients with multiple sclerosis (MS) maintain balance and prevent falls, which is particularly important as they may experience coordination and mobility issues.

B. "Engage in a rigorous exercise program to maintain muscle tone.": This is not advisable for someone with MS. While exercise is important, it should be tailored to the individual's capabilities and should not be overly rigorous, as fatigue is a common symptom of MS.

C. "Plan to take a hot bath once a week to reduce stress.": While relaxation is beneficial, many individuals with MS may find that heat exacerbates their symptoms. It would be better to recommend warm (not hot) baths and to monitor for any adverse effects.

D. "Place a scatter rug in your bathroom to prevent falling.": This is unsafe advice. Scatter rugs can increase the risk of falls, which is particularly concerning for clients with MS. It is better to suggest removing rugs and using non-slip mats to enhance safety in the home environment.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is A

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