A practical nurse is preparing to administer a newly prescribed transdermal nitroglycerin patch to a client with a history of stable angina. Arrange the steps of this medication administration procedure in the correct chronological sequence.
- 1Perform hand hygiene and put on a pair of clean gloves.
- 2Remove the previously applied patch and gently wash the skin site with soap and water.
- 3Write the current date, time, and your initials on the outside of the new patch.
- 4Apply the new patch to a clean, hairless area of intact skin on the upper chest or arm.
- 5Press the patch firmly against the skin for about 10 seconds without massaging the area.
Answer
The correct sequence is to first don clean gloves, remove the old patch and clean the site, label the new patch, apply it to a suitable hairless area, and finally press it firmly into place without massaging.
Safe application of a transdermal nitroglycerin patch requires a systematic approach to protect both the client and the nurse. The nurse must first wear gloves to prevent self-dosing, then remove the previous patch to prevent overdose. Labeling the new patch prior to application ensures proper documentation without pressing a pen into the client. Finally, selecting a hairless site and pressing without massaging ensures the drug is absorbed at a safe, controlled rate.
Step-by-Step Solution
Key Concept
Safe administration of transdermal medications