Nursing interventions and care
Nursing interventions and care ( 7 Questions)
A client who has chronic pain due to cancer is prescribed fentanyl patches for pain management. The nurse should instruct the client to follow which of the following guidelines when using this controlled substance? (Select all that apply.)
Rationale: Fentanyl patches are transdermal delivery systems that provide continuous opioid analgesia for up to 72 hours. The nurse should instruct the client to apply the patch to a dry, hairless area of intact skin; avoid exposing the patch to heat sources that can increase absorption and cause overdose; and report any signs of opioid toxicity such as confusion, drowsiness, or difficulty breathing.
This is incorrect as changing the patch more frequently than every 72 hours can cause overdose and dependence.
This is incorrect as flushing the patch down the toilet can contaminate the water supply and pose a risk of accidental ingestion by children or pets. The nurse should instruct the client to fold the patch in half with the sticky sides together and dispose of it in a secure trash container.
Rationale: Fentanyl patches are transdermal delivery systems that provide continuous opioid analgesia for up to 72 hours. The nurse should instruct the client to apply the patch to a dry, hairless area of intact skin; avoid exposing the patch to heat sources that can increase absorption and cause overdose; and report any signs of opioid toxicity such as confusion, drowsiness, or difficulty breathing.
Rationale: Fentanyl patches are transdermal delivery systems that provide continuous opioid analgesia for up to 72 hours. The nurse should instruct the client to apply the patch to a dry, hairless area of intact skin; avoid exposing the patch to heat sources that can increase absorption and cause overdose; and report any signs of opioid toxicity such as confusion, drowsiness, or difficulty breathing.
Correct answer: A, D, E
Rationale: Fentanyl patches are transdermal delivery systems that provide continuous opioid analgesia for up to 72 hours. The nurse should instruct the client to apply the patch to a dry, hairless area of intact skin; avoid exposing the patch to heat sources that can increase absorption and cause overdose; and report any signs of opioid toxicity such as confusion, drowsiness, or difficulty breathing.
Incorrect choices:
b) Change the patch every 24 hours or as needed for pain relief.: This is incorrect as changing the patch more frequently than every 72 hours can cause overdose and dependence.
c) Dispose of the used patch by flushing it down the toilet.: This is incorrect as flushing the patch down the toilet can contaminate the water supply and pose a risk of accidental ingestion by children or pets. The nurse should instruct the client to fold the patch in half with the sticky sides together and dispose of it in a secure trash container.