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    RN HESI Pharmacology Proctored Exam 3

    A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. Which action should the nurse take?

    Explanation & Rationale

    A. Explain that the medication is not given to prevent pain: Scopolamine transdermal patches are primarily used to prevent nausea and vomiting associated with motion sickness or postoperative conditions, not for pain management. This explanation addresses the client's misunderstanding about the purpose of the medication and clarifies that scopolamine is not intended to relieve pain. B. Offer to apply a new transdermal patch to relieve the pain: This is not appropriate because scopolamine is not used for pain relief. Applying a new patch will not address the client's pain, as the medication's purpose is not related to analgesia. C. Advise the client that the effects of the medication have worn off: This is incorrect because scopolamine patches are typically used for prophylaxis against nausea and are effective for several days. The medication’s effects should not wear off within a few hours, and the patch is not designed to address pain. D. Check for correct placement of the patch behind the client's ear: While ensuring the correct placement of the patch is important for its efficacy, the client’s pain indicates a misunderstanding of the patch’s purpose. The patch’s placement is not related to the pain the client is experiencing, as scopolamine is not meant to relieve pain.

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