Deck 13: Percutaneous Routes

Question 1

Patches, disks, and dots may be used therapeutically for

A) nausea due to motion sickness
B) hormones
C) pain
D) all of the above
E) a and b

Answer 1

all of the above

Question 2

Otic medications

A) may be used in the eye
B) should be at room temperature for administration
C) may be administered in an ear blocked with cerumen
D) should be applied with the patient in a sitting position
E) all of the above

Answer 2

should be at room temperature for administration

Question 3

Transdermal medications are delivered by patches or dots for absorption through the skin.

Answer 3

True

Question 4

Soap is essential for proper absorption of medications into the skin. This is the reason skin should be cleansed prior to applying transdermal medications.

Question 5

Topical medications incur a risk in older adult patients because of thin skin and blood supply that is close to the skin surface.

Question 6

Creams are in a fatty base, while ointments are in a water base.

Question 7

Gels and pastes may be either oil- or water-based.

Question 8

Vaginal medications come in the forms of

A) suppositories
B) douches
C) tablets
D) all of the above
E) a and b

Question 9

Except in special treatment of wounds and rashes, the site of administration of topical medications should be clean and free of infection, rash, and dead tissue.

Question 10

Buccal and sublingual tablets

A) are absorbed through the mucous membranes of the mouth
B) should be used when the mouth is moist to allow for absorption
C) may be used for treatment of angina
D) all of the above
E) a and b

Question 11

Spray medications should be held close to the skin so that the skin will be heavily covered with the medication.

Question 12

Nasal medications

A) may be administered by dropper, atomizer, or aerosol spray
B) are commonly used as decongestants
C) are relatively safe when used in small doses for a limited time
D) should be instilled with the head tilted forward
E) a, b, and c

Question 13

A thick layer of powder is more therapeutic than a thin covering.

Question 14

Lotions

A) are used to control itching
B) are used to relieve congestion and muscle and joint pain
C) may contain a powder that leaves a film of medication at the site
D) should be applied by stroking lightly in the direction of hair growth
E) all of the above

Question 15

When applying nitroglycerin ointment, the allied health professional should

A) apply the ointment directly to the chest, arms, back, or thighs using the supplied paper
B) be sure the site is relatively free of hair and scar tissue
C) wear gloves to prevent contact with the ointment
D) remove any residual medications from previous applications
E) all of the above

Question 16

Patches are therapeutic for

A) angina
B) allergy testing
C) smoking cessation
D) a and c
E) all of the above

Question 17

Ophthalmic medications

A) must contain a label of "ophthalmic"
B) must remain sterile
C) may be applied to the cornea
D) should be administered in the conjunctival sac
E) all except c

Question 18

Application of topical medications in older adult patients may require minimal friction because

A) their skin is thin and will excoriate easily
B) their skin has diminished sensation
C) the blood supply is close to the skin surface and may cause bruising
D) their skin is dry and flaky
E) all of the above

Question 19

Topical medications are applied to the surface of the skin for absorption.

Question 20

Skin should be moist when applying a powder so that it will adhere to the skin.

Question 21

Percutaneous medications are generally administered easily.

Question 22

In using an MDI, the first dose opens the airways and the second dose penetrates into the deeper airways.

Question 23

Rebound congestion may occur if nasal preparations are used on a daily basis over a prolonged period of time.

Question 24

MDIs and DPIs deliver medications to the mucous membranes of the respiratory system for absorption.

Question 25

Percutaneous administration of medications is as reliable as oral administration of medications.

Question 26

Nitroglycerin ointment residue should be removed with soap and water prior to application of a new dose of medication to prevent an overdose of the drug.

Question 27

The equipment that is used to provide medications by MDI should be thoroughly cleansed after each use to prevent medication buildup in the mouthpiece.

Question 28

Vaginal medications may be used as contraceptives.

Question 29

Vigorous rubbing of a drug on a rash will ease the itching.

Question 30

Medications absorbed percutaneously in the mouth, rectum, and lungs act rapidly.

Question 31

A patient may eat and drink immediately after the administration of buccal and sublingual tablets.

Question 32

Nasal sprays may be used for conditions such as headaches, insulin, and smoking cessation.

Question 33

Buccal and sublingual medications may be swallowed and still maintain their effectiveness.

Question 34

The distance that topical sprays should be held from the skin will appear on the container label.

Question 35

Most vaginal medications are prescribed for use at bedtime.

Question 36

Nebulizers are used to provide powdered medications to the lungs.

Question 37

Medications may be applied topically for local or systemic effects.

Question 38

Percutaneous medications are fast acting in most instances.

Question 39

Percutaneous medications have a low incidence of adverse reactions.

Question 40

In administering nasal medications, the head should be tilted forward for administration and then tilted backward for five minutes.

Question 41

Skin of older adults is well hydrated so absorption occurs in a manner similar to that of a middle-aged person.

Question 42

Drugs are being administered in increasing amounts through nasal passages because of the rapid absorption on the nasal mucosa.

Question 43

Taking short, quick breaths will aid in the absorption of nasal preparations.

Question 44

Drugs should not be instilled directly on the cornea.

Question 45

Buccal medications may have systemic effects when absorbed in saliva and swallowed.

Question 46

Gels are thick water-based substances used as lubricants.

Question 47

Use of nasal preparations for sinusitis and allergies is relatively safe when used for short periods of time and in small doses.

Question 48

Otic medications may be used as ophthalmic preparations.

Question 49

All transdermal medications should have the application of a new dose daily.

Question 50

Swallowing sublingual and buccal tablets increases the absorption rate.

Question 51

Nasal preparations that spill into the throat should be swallowed for systemic effect.

Question 52

Soap and water should be used to prepare a site for a transdermal patch.

Question 53

Lotions leave a cool feeling after applications because the water base leads to evaporation.

Question 54

Rebound congestion occurs with excessive use of nasal preparations.

Question 55

Sterile ophthalmic solutions may be used with a perforated tympanic membrane or with patients with tympanic tubes inserted.

Question 56

Sublingual medications are either sprays or small porous tablets.

Question 57

Cold solutions instilled in the ear may cause nausea and vertigo.

Question 58

A spacer may be indicated with the use of an MDI medication.

Question 59

Transdermal medications have many applications for various conditions or diseases.

Question 60

Drugs applied to the cornea will not produce pain because the cornea has no blood or nerve supply.

Question 61

Match the following terms with their descriptions below.
Absorption through mucous membranes of the mouth

A)buccal
B)sublingual
C)topical
D)transdermal
E)percutaneous

Question 62

Over 50% of medication administered reaches the lower airway passages when either a DPI or MDI is used for medication administration.

Question 63

Nebulizers provide sprays of medication.

Question 64

MDIs require less coordination than DPIs.

Question 65

Inhalation medications are in the forms of gases, sprays, powders, and liquids.

Question 66

Rotadisks provide a spray form of medication.

Question 67

Match the following terms with their descriptions below.
Absorption under the tongue

A)buccal
B)sublingual
C)topical
D)transdermal
E)percutaneous

Question 68

Match the following terms with their descriptions below.
Absorption through skin surface

A)buccal
B)sublingual
C)topical
D)transdermal
E)percutaneous

Question 69

Because of the rich blood supply found in the alveolar-capillary network, inhaled medications have a slow absorption rate.

Question 70

Match the following terms with their descriptions below.
Absorption through skin or mucous membranes

A)buccal
B)sublingual
C)topical
D)transdermal
E)percutaneous

Question 71

Match the following terms with their descriptions below.
Absorption through skin surfaces using patches or dots

A)buccal
B)sublingual
C)topical
D)transdermal
E)percutaneous

Question 72

Vaginal preparations are best administered at bedtime with the woman lying down.