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Zorluk: KolayPharmacological Therapies

A practical nurse (PN) is preparing to administer a prescribed transdermal nitroglycerin patch to a client. In what order should the PN perform the following steps? (Arrange the steps in the correct sequence, from first to last.)

  1. 1Perform hand hygiene and put on clean gloves.
  2. 2Remove the previously applied patch and cleanse the skin.
  3. 3Select a new, clean, and hairless site on the upper body.
  4. 4Apply the new patch and hold it firmly in place.

Cevap

The correct sequence is: perform hand hygiene and put on clean gloves, remove the old patch, select a new site, and then apply the new patch.
Safe administration of a transdermal patch requires a specific logical sequence. First, the nurse must perform hand hygiene and put on gloves to prevent absorbing the medication into their own skin. Next, the old patch must be removed to prevent an accidental overdose. Then, the nurse selects a new, hairless site to rotate placement and reduce skin irritation. Finally, the new patch is applied and secured.

Adım Adım Çözüm

1
Determine the priority of infection control and self-protection.
The nurse must perform hand hygiene and don gloves before handling the medication.
Nitroglycerin can be absorbed through the nurse's skin, which may cause headaches or hypotension.
2
Identify the next safety measure before applying a new dose.
The previously applied patch must be removed.
Leaving an old patch on while applying a new one can lead to a dangerous medication overdose.
3
Identify the site preparation step.
A new, appropriate site is selected and prepared.
Site rotation prevents skin breakdown and ensures consistent medication absorption.
4
Determine the final step of administration.
The new patch is applied to the skin.
Application is the final physical step of this administration sequence.

Anahtar Kavram

Safe Administration of Transdermal Medications
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Konular

Pharmacological Therapies

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