A client with chronic stable angina is scheduled to receive a new transdermal nitroglycerin patch. What is the correct sequence of actions the practical nurse (PN) must take to safely administer this medication? Arrange the following steps in the correct chronological order.
- 1Perform hand hygiene and put on clean gloves.
- 2Remove the previous patch and fold it in half with the adhesive sides together.
- 3Cleanse the new application site with water and allow it to dry completely.
- 4Write the date, time, and initials on the outside of the new patch.
- 5Apply the new patch to a rotated, hairless area of intact skin.
Cevap
The correct sequence is: perform hand hygiene and don gloves, remove the old patch, clean the new application site, label the new patch, and apply the new patch to a rotated site.
Safe application of a transdermal patch requires a systematic approach to protect both the nurse and the client. First, the nurse must don gloves to avoid self-absorption of the vasoactive medication. Second, the old patch must be removed to prevent an accidental overdose. Third, the new site is cleaned with water to promote adherence. Fourth, the patch is labeled before application to prevent pressing too hard on the client's skin. Finally, it is applied to a new, hairless area to prevent contact dermatitis and ensure consistent medication absorption.
Adım Adım Çözüm
Anahtar Kavram
Safe administration of transdermal medications involves protecting the nurse with gloves, preventing overdose by removing old patches first, and ensuring proper site preparation for consistent systemic absorption.
Tahmini Süre:1m 30s