A client with a history of stable angina is prescribed a daily nitroglycerin transdermal patch. After gathering the necessary supplies, entering the client's room, and verifying the client using two identifiers, the practical nurse proceeds with the medication administration. Arrange the following actions in the correct sequential order from first to last.
- 1Put on a pair of clean gloves to prevent accidental medication absorption.
- 2Remove the previously applied patch and fold the adhesive sides together.
- 3Wash the old application site with soap and water, then dry the skin completely.
- 4Write the current date, time, and nurse's initials on the outer backing of the new patch.
- 5Press the newly labeled patch firmly onto a different, hairless area of the upper chest or arm.
Cevap
The correct sequence is: Don clean gloves, remove the old patch, clean the old site, label the new patch, and apply the new patch.
Safe transdermal patch administration requires a strict sequence to ensure client safety and protect the nurse. The nurse must first don gloves to prevent absorbing the medication. Next, the old patch must be removed and safely discarded, and the old site must be thoroughly cleaned to prevent an overdose from residual medication. The new patch is then labeled with the date, time, and initials prior to application to avoid causing discomfort by writing directly on the client's skin. Finally, the patch is firmly applied to a new, hairless site to ensure consistent absorption and prevent tissue irritation.
Adım Adım Çözüm
Anahtar Kavram
Safe Administration of Transdermal Medications