Deck 7: Percutaneous Administration

Question 1

Which medications must be sterile?

A) Topical
B) Vaginal
C) Ophthalmic
D) Nasal

Answer 1

Ophthalmic

Question 2

Which action(s)will the nurse perform when preparing to administer a topical medication?

A) Wash hands before and after administration.
B) Maintain a dry environment to encourage wound healing.
C) Wear gloves during the application process.
D) Use sterile dressings for all wounds.

Answer 2

Wash hands before and after administration.
Wear gloves during the application process.

Question 3

Where would the nurse apply nitroglycerin ointment on a male patient?

A) The same site that was previously used
B) A hairy area of the chest
C) The upper arm
D) The back of the knee

Answer 3

The upper arm

Question 4

Where will the nurse administer a medication that was ordered to be given sublingually?

A) Between the molar teeth and cheek
B) Below the skin surface
C) Under the tongue
D) Into the conjunctival sac

Question 5

Which is an accurate nursing action when treating a patient's rash with a lotion?

A) Avoid shaking the container prior to application.
B) Cleanse area with alcohol prior to treatment.
C) Cover the area with gauze because of the oil base.
D) Pat on the area with a gloved hand.

Question 6

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.

Question 7

Which action will the nurse perform when doing a wet to dry dressing every 4 hours on a patient with a deep wound?

A) Pack the wound tightly with gauze.
B) Saturate the dressing with as much liquid as possible.
C) Use Montgomery tapes or a binder to secure the dressing.
D) Apply the new moist dressing over the existing one.

Question 8

The nurse is teaching a patient about nitroglycerin ointment.Which is an advantage of this form of the medication?

A) It does not give the patient a bad taste in the mouth.
B) The amount of ointment does not matter in obtaining a therapeutic response.
C) It does not cause headaches as an adverse effect.
D) It provides relief of anginal pain for several hours longer than sublingual medication.

Question 9

Why are sublingual and buccal medications rapidly absorbed?

A) Their action is localized to the mouth.
B) They are metabolized in the liver.
C) Blood flow is diminished in these sites.
D) These drugs pass directly into systemic circulation.

Question 10

Which order(s)would be examples of percutaneous medication administration?

A) Timolol 0.5% 1 drop to each eye daily
B) Albuterol nebulizer 2.5 mg qid
C) Heparin 5000 units IV
D) Lasix 20 mg PO every AM
E) Silvadene 1% topically to affected area

Question 11

A patient with metastatic cancer is being admitted for pain control.Which action will the nurse perform in administering a transdermal patch?

A) After removal, dispose of the old patch in a receptacle in the patient's room.
B) Change the fentanyl patch every day, either in the morning or at bedtime.
C) Hold the short-acting oral pain medication when a fentanyl patch is initiated.
D) Label the patch with date, time, dosage, and initials after patch placement.

Question 12

Which effect would be important for the nurse to address when teaching a patient about the overuse of nose drops?

A) Rebound
B) Ceiling
C) Idiosyncratic
D) Measured

Question 13

What is the appropriate nursing action when administering a vaginal suppository?

A) Ask the patient to urinate prior to insertion.
B) Assist the patient to a side-lying position.
C) Keep suppository refrigerated prior to insertion.
D) Insert the suppository 1 inch into the vagina.

Question 14

Where does the nurse correctly administer ophthalmic medication?

A) At the inner canthus of the eye
B) In the lower conjunctival sac
C) Directly onto the eyeball
D) To the outer corner of the eyelid

Question 15

What is the rationale for the nurse applying gentle pressure to the inner corner of the eyelid after instilling eyedrops?

A) Decreases the risk of infection
B) Maintains intraocular pressure
C) Prevents systemic effects
D) Provides comfort to the patient

Question 16

When applying nitroglycerin topically,which nursing intervention is correct?

A) Secure the paper on two sides with tape.
B) Shave the area prior to application of the paper.
C) Wear gloves while placing the new paper.
D) Remind the patient to discontinue use of the medication if chest pain is relieved.

Question 17

A patient has an infected wound with large amounts of drainage.Which type of dressing would the nurse use?

A) Telfa
B) OpSite
C) DuoDerm
D) AlgiDERM

Question 18

The nurse is instructing a patient to use a corticosteroid inhaler.Which statement by the patient indicates the need for further teaching?

A) "I will shake the inhaler before I use it."
B) "I need to rinse my mouth after I use the inhaler."
C) "I will use this when I'm lying in bed in the morning."
D) "After I inhale, I will hold my breath and then breathe out slowly."

Question 19

Which nursing assessment accurately describes the results of an intradermal skin test?

A) Itching and weeping
B) Erythema and induration
C) Swelling and coolness
D) Pallor and drainage

Question 20

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

A) into the eye.
B) under the tongue.
C) topically.
D) into the ear.

Question 21

Place the following steps for administration of nose drops in the correct order.(Enter your answer with a comma and space between each lettered option as follows: A,B,C,D,E.)

A) Draw medication into the dropper.
B) Instruct patient to blow the nose gently.
C) Review practice setting policy.
D) Explain the steps to the patient.
E) Position the patient into supine position with head backward over edge of bed. f. Instill medication.

Question 22

Which dressings would be appropriate to use for treating wounds with exudates?

A) AlgiDERM
B) Telfa
C) Kaltostat
D) Sorbsan
E) OpSite