Question 1

The nurse is instructing a patient to use a corticosteroid inhaler.Which statement by the patient indicates the need for further teaching?&#10;A) &#34;I will shake the inhaler before I use it.&#34;&#10;B) &#34;I need to rinse my mouth after I use the inhaler.&#34;&#10;C) &#34;I will use this when I'm lying in bed in the morning.&#34;&#10;D) &#34;After I inhale,I will hold my breath and then breathe out slowly.&#34;

Accepted Answer

Using a corticosteroid inhaler lying down can lead to improper delivery of the medication and may result in decreased effectiveness. The patient should use the inhaler while sitting or standing upright to ensure proper medication delivery.

Question 2

Which order(s)would be examples of percutaneous medication administration? (Select all that apply.)&#10;A) Timolol 0.5% 1 drop to each eye daily&#10;B) Albuterol nebulizer 2.5 mg qid&#10;C) Heparin 5000 units IV&#10;D) Lasix 20 mg PO every AM&#10;E) Silvadene 1% topically to affected area

Accepted Answer

Timolol 0.5% 1 drop to each eye daily&#10;Albuterol nebulizer 2.5 mg qid&#10;Silvadene 1% topically to affected area

Question 3

Which action will the nurse perform when doing a wet to dry dressing every 4 hours on a patient with a deep wound?&#10;A) Pack the wound tightly with gauze.&#10;B) Saturate the dressing with as much liquid as possible.&#10;C) Use Montgomery tapes or a binder to secure the dressing.&#10;D) Apply the new moist dressing over the existing one.

Accepted Answer

Montgomery tapes or a binder are used to secure the dressing without causing additional trauma to the skin each time the dressing is changed. This method is particularly useful for dressings that need frequent changes, such as wet to dry dressings. Packing a wound too tightly, saturating the dressing excessively, or applying a new dressing over an old one are not recommended practices for wet to dry dressings.

Question 4

When applying nitroglycerin topically,which nursing intervention is correct?&#10;A) Secure the paper on two sides with tape.&#10;B) Shave the area prior to application of the paper.&#10;C) Wear gloves while placing the new paper.&#10;D) Remind the patient to discontinue use of the medication if chest pain is relieved.

Accepted Answer

It is important for the nurse to wear gloves while placing the new paper to prevent absorption through their own skin. A and B are not necessary steps for the application of nitroglycerin topically, and D is incorrect as the medication should not be discontinued without consulting a healthcare provider.

Question 5

What is the appropriate nursing action when administering a vaginal suppository?&#10;A) Ask the patient to urinate prior to insertion.&#10;B) Assist the patient to a side-lying position.&#10;C) Keep suppository refrigerated prior to insertion.&#10;D) Insert the suppository 1 inch into the vagina.

Accepted Answer

The patient should urinate prior to insertion to ensure comfort and prevent the urge to urinate immediately after the suppository is placed.

Question 6

Which medications must be sterile?&#10;A) Topical&#10;B) Vaginal&#10;C) Ophthalmic&#10;D) Nasal

Accepted Answer

Ophthalmic medications must be sterile to prevent the risk of contamination or infection to the sensitive tissues of the eye. Topical, vaginal, and nasal medications may or may not require sterility depending on the specific medication and its intended use.

Question 7

Which action(s)will the nurse perform when preparing to administer a topical medication? (Select all that apply.)&#10;A) Wash hands before and after administration.&#10;B) Maintain a dry environment to encourage wound healing.&#10;C) Wear gloves during the application process.&#10;D) Use sterile dressings for all wounds.

Accepted Answer

The nurse should wash their hands before and after administration to ensure cleanliness and prevent the spread of infection. They should also wear gloves during the application process to prevent contamination and protect themselves from any potential adverse reactions. Maintaining a dry environment may be applicable for some topical medications, but it is not a universal rule. Using sterile dressings is also not always necessary.

Question 8

Where does the nurse correctly administer ophthalmic medication?&#10;A) At the inner canthus of the eye&#10;B) In the lower conjunctival sac&#10;C) Directly onto the eyeball&#10;D) To the outer corner of the eyelid

Accepted Answer

Ophthalmic medication should be administered in the lower conjunctival sac, which is located between the lower eyelid and eyeball. This allows the medication to be absorbed directly into the eye. Administering the medication at the inner canthus, directly onto the eyeball, or to the outer corner of the eyelid can cause the medication to be ineffective or lead to discomfort for the patient.

Question 9

Which nursing assessment accurately describes the results of an intradermal skin test?&#10;A) Itching and weeping&#10;B) Erythema and induration&#10;C) Swelling and coolness&#10;D) Pallor and drainage

Accepted Answer

An intradermal skin test typically results in the appearance of both erythema (redness) and induration (hardening) at the site of injection, which indicates a positive reaction to the test. Itching and weeping, swelling and coolness, pallor and drainage are not typical results of an intradermal skin test.

Question 10

A patient with metastatic cancer is being admitted for pain control.Which action will the nurse perform in administering a transdermal patch?&#10;A) After removal,dispose of the old patch in a receptacle in the patient's room.&#10;B) Change the fentanyl patch every day,either in the morning or at bedtime.&#10;C) Hold the short-acting oral pain medication when a fentanyl patch is initiated.&#10;D) Label the patch with date,time,dosage,and initials after patch placement.

Accepted Answer

When administering a transdermal patch, the nurse should label it with the date, time, dosage, and their initials after patch placement to ensure proper documentation and to prevent errors. Option A is incorrect because the old patch should be disposed of in a sharps container, not a receptacle in the patient's room. Option B is incorrect because fentanyl patches are usually changed every 72 hours, not every day. Option C is incorrect because short-acting oral pain medication may need to be continued until the fentanyl patch reaches therapeutic levels.

Question 11

Why are sublingual and buccal medications rapidly absorbed?&#10;A) Their action is localized to the mouth.&#10;B) They are metabolized in the liver.&#10;C) Blood flow is diminished in these sites.&#10;D) These drugs pass directly into systemic circulation.

Accepted Answer

The answer of Why are sublingual and buccal medications rapidly...

Question 12

The nurse is preparing an otic solution.When instructing the patient in regard to area of administration,the nurse will explain that the solution will be placed:&#10;A) into the eye.&#10;B) under the tongue.&#10;C) topically.&#10;D) into the ear.

Accepted Answer

The answer of The nurse is preparing an otic solution.When...

Question 13

Which effect would be important for the nurse to address when teaching a patient about the overuse of nose drops?&#10;A) Rebound&#10;B) Ceiling&#10;C) Idiosyncratic&#10;D) Measured

Accepted Answer

The answer of Which effect would be important for the...

Question 14

Where would the nurse apply nitroglycerin ointment on a male patient?&#10;A) The same site that was previously used&#10;B) A hairy area of the chest&#10;C) The upper arm&#10;D) The back of the knee

Accepted Answer

The answer of Where would the nurse apply nitroglycerin ointment...

Question 15

A 2-year-old child is hospitalized with the diagnosis of tonsillitis and bilateral otitis media.The nurse is preparing to administer eardrops.When instilling the eardrops,the nurse will pull the earlobe:

A) upward and back.
B) sideways and down.
C) downward and back.
D) sideways and up.

Accepted Answer

The answer of A 2-year-old child is hospitalized with the...

Question 16

What is the rationale for the nurse applying gentle pressure to the inner corner of the eyelid after instilling eyedrops?&#10;A) Decreases the risk of infection.&#10;B) Maintains intraocular pressure.&#10;C) Prevents systemic effects.&#10;D) Provides comfort to the patient.

Accepted Answer

The answer of What is the rationale for the nurse...

Question 17

A patient has an infected wound with large amounts of drainage.Which type of dressing would the nurse use?&#10;A) Telfa&#10;B) OpSite&#10;C) DuoDerm&#10;D) AlgiDERM

Accepted Answer

The answer of A patient has an infected wound with...

Question 18

Which is an accurate nursing action when treating a patient's rash with a lotion?&#10;A) Avoid shaking the container prior to application.&#10;B) Cleanse area with alcohol prior to treatment.&#10;C) Cover the area with gauze because of the oil base.&#10;D) Pat on the area with a gloved hand.

Accepted Answer

The answer of Which is an accurate nursing action when...

Question 19

The nurse is teaching a patient about nitroglycerin ointment.Which is an advantage of this form of the medication?&#10;A) It does not give the patient a bad taste in the mouth.&#10;B) The amount of ointment does not matter in obtaining a therapeutic response.&#10;C) It does not cause headaches as an adverse effect.&#10;D) It provides relief of anginal pain for several hours longer than sublingual medication.

Accepted Answer

The answer of The nurse is teaching a patient about...

Question 20

Where will the nurse administer a medication that was ordered to be given sublingually?&#10;A) Between the molar teeth and cheek&#10;B) Below the skin surface&#10;C) Under the tongue&#10;D) Into the conjunctival sac

Accepted Answer

The answer of Where will the nurse administer a medication...

Question 21

Which dressings would be appropriate to use for treating wounds with exudates? (Select all that apply.)&#10;A) AlgiDERM&#10;B) Telfa&#10;C) Kaltostat&#10;D) Sorbsan&#10;E) OpSite

Accepted Answer

The answer of Which dressings would be appropriate to use...

Deck 7: Percutaneous Administration