Question

Difficulty: EasyPharmacological Therapies

A practical nurse is preparing to apply a newly prescribed transdermal clonidine patch to a client with hypertension. The client currently has an old patch in place on their right upper chest. In what order should the nurse perform the following actions?

  1. 1Don clean gloves and remove the old patch.
  2. 2Fold the old patch in half with the adhesive sides together and discard it.
  3. 3Cleanse a new, hairless application site and allow it to dry completely.
  4. 4Apply the new patch and hold it firmly in place for 10 to 15 seconds.
  5. 5Write the date, time, and initials on the outside of the new patch.

Answer

The correct sequence is to first don clean gloves and remove the old patch, fold it in half for disposal, cleanse and dry a new application site, apply the new patch with firm pressure, and finally label the patch with the date, time, and initials.
Applying a transdermal patch requires a systematic approach to ensure safety for both the client and the nurse. The nurse must first protect themselves with gloves and remove the old patch to prevent a medication overdose. The old patch is immediately folded and discarded safely. A new site is then cleansed and dried to prevent irritation and ensure adhesion. The new patch is applied with pressure, and finally, it is labeled so the next nurse knows when it was administered.

Step-by-Step Solution

1
Don clean gloves and remove the old patch.
The client is no longer receiving medication from the previous patch.
Gloves protect the nurse from absorbing the medication. Removing the old patch first prevents delivering a double dose.
2
Fold the old patch in half with the adhesive sides together and discard it.
The old patch is safely secured.
This prevents anyone else from accidentally coming into contact with residual medication on the patch.
3
Cleanse a new, hairless application site and allow it to dry completely.
A fresh, clean site is prepared.
Site rotation prevents tissue breakdown. Clean, dry skin is necessary for the adhesive to work properly.
4
Apply the new patch and hold it firmly in place for 10 to 15 seconds.
The new patch is securely attached.
Applying pressure ensures the edges do not peel up and the medication will be absorbed properly.
5
Write the date, time, and initials on the outside of the new patch.
The administration is clearly documented.
Proper labeling communicates with the rest of the nursing staff so they know exactly when the patch was placed.

Key Concept

Transdermal Medication Administration
Estimated Time:1m 0s
Rate this question