The nurse is visiting a client at home who is using a transdermal fentanyl patch. The nurse knows the client requires additional education based on which of the following statements?

  1. “I apply the patch when I have breakthrough pain.”
  2. “I store my patches in a private location away from my grandchildren’s reach.”
  3. “I remove my old patch before applying a new one.”
  4. “I enjoy orange juice for breakfast.”
Number 1 is correct.
Rationale: A transdermal patch of fentanyl is to be worn continuously to provide round-the-clock pain relief. A potent opioid analgesic, fentanyl needs to be stored in a safe location where others may not access the drug. Orange juice may be ingested while on fentanyl; however, grapefruit juice should be avoided as it increases the effect of the drug.