Question

A nurse is preparing to replace a client's transdermal fentanyl patch after 72 hr of use. After the nurse opens the packet containing the new pouch, the client declines to accept it. Which of the following actions should the nurse take?

A. Document the client's refusal
B. Apply the new patch as scheduled
C. Offer an alternative pain management option
D. Dispose of the new patch according to protocol

Answer 1

The nurse should document the client's refusal, offer alternative pain management options, and dispose of the new patch according to protocol. This ensures respect for the client's decision and adherence to ethical healthcare practices.

Step-by-step explanation:

When a client declines to accept a new transdermal fentanyl patch, the nurse's first step should be to document the client's refusal. It's crucial to maintain accurate records of patient care and their decisions. Second, rather than applying the new patch against the client's wishes, which would be unethical and against medical consent practices, the nurse should then offer an alternative pain management option to ensure that the client's pain is managed effectively. Lastly, if the patch will not be used, the nurse should dispose of the new patch according to protocol to ensure that it is not misused or inadvertently accessed by unauthorized individuals, keeping in mind that proper disposal is imperative for patient safety and to uphold hospital policy. This process aligns with clinical focus, which emphasizes safety, patient consent, and ethical healthcare practices.