Question 1

3. The instillation of ophthalmic beta blockers can cause _______ and _____________ because of their rapid absorption.

Accepted Answer

The answer of 3. The instillation of ophthalmic beta blockers...

Question 2

The nurse is teaching a patient how to calculate how long the metered-dose inhaler (MDI)canister can be used.If the canister contains 200 puffs and the patient administers 2 puffs 3 times each day,how long will the canister last?

Accepted Answer

Two puffs × 3 times daily = 6 puffs per day; 200 puffs/6 puffs per day = 33.3 days; therefore,the canister will last 33 days with correct medication administration.If the canister lasted 34 days,there would not be enough for the final entire day.Sixty-six days and 100 days are incorrect calculations of the problem.

Question 3

2. When applying transdermal patches,the nurse must _____ the application site to reduce the incidence of a localized skin reaction.

Accepted Answer

The answer of 2. When applying transdermal patches,the nurse must...

Question 4

The nurse is preparing medications for a patient who cannot swallow pills.Nursing care would be correct if the nurse determines which of the following medications cannot be crushed? (Select all that apply.)

Accepted Answer

Capsules and enteric-coated tablets are not crushed because the coating of these drugs protects the stomach from irritation or protects the drug from destruction by stomach acids.The buccal tablet needs to dissolve or remain in the mouth for proper absorption.The nurse can crush the scored tablet because the medication absorption will not be altered.

Question 5

The nurse is preparing to administer eardrops to a 28-month-old child.Nursing care is appropriate if which technique is used by the nurse?

Accepted Answer

The nurse pulls the patient's pinna down and straight back to facilitate the medication reaching the inner ear.Eardrops are never warmed in a microwave oven because of the risk of overheating the medication; microwave heating potentially leads to patient burns or decreased effectiveness of the eardrops.If cotton balls are used with eardrops,they are nonmedicated and inserted into the ear canal gently for a brief period of time after the drops have been instilled.The eardrops would drain out of the ear quickly if the patient lies on a warm compress with the affected ear down.

Question 6

The nurse plans care for the patient who has asthma and receives albuterol nebulizer therapy.The patient's respiratory rate is 34 breaths per minute,and breath sounds reveal wheezing throughout both lung fields.Which outcome is the nurse's priority for this patient within 24 hours?

Accepted Answer

Airway and breathing are usually at the top of patient priorities; thus the nurse works to improve the patient's respiratory status first.Self-administration is contraindicated for the patient during an acute episode.Describing the use of a nebulizer and verbalizing information are indicated before discharge and not during an acute episode.

Question 7

The patient has a scored white tablet,a capsule,buccal medication,and an enteric-coated tablet.Which medication should the nurse administer last?

Accepted Answer

The buccal medication must be able to dissolve between the cheek and the gums to provide the correct absorption.Any liquid must be postponed until the buccal medication has dissolved.For therapuetic effect,it makes no difference in which order the other medications are given.They will be absorbed in the areas of the body where expected.

Question 8

A patient is to receive three medications via an enteral feeding tube.What action by the nurse best contributes to maintaining the patency of the tube?

Accepted Answer

Flushing the tube with water helps it to remain patent by rinsing away any of the residual medication left in it.Pouring the medications into the tube slowly does nothing for patency.Checking the gastric residual volume identifies only how the stomach is emptying.Elevating the head of the bed helps to prevent aspiration,not tube clogging.

Question 9

The nurse is caring for a patient with an enteral feeding tube.During assessment,the nurse finds that the patient's oxygen saturation level has dropped significantly and the respiratory rate and effort have increased.What action should the nurse take first?

Accepted Answer

The patient is exhibiting signs of aspiration,and feeding and medications through the tube must be stopped first.This is done quickly; if not done,none of the other actions will be effective.It's essential that the nurse goes to the source of the problem.The vital signs can be checked after the tube feeding has been stopped and the patient repositioned for better airway clearance.The healthcare provider can be notified after the nurse has intervened by turning off the tube feeding,repositioning the patient for optimal airway clearance,and taking vital signs.Repositioning the patient is important; but,if the pump is left on,more fluid will be instilled into an already stressed patient.

Question 10

1. A _________ medication is one that is applied directly to skin,mucous membranes,or tissue membranes.

Accepted Answer

The answer of 1. A _________ medication is one that...

Quiz 22: Administration of Nonparenteral Medications

3. The instillation of ophthalmic beta blockers can cause _ and _______ because of their rapid absorption.

The nurse is teaching a patient how to calculate how long the metered-dose inhaler (MDI) canister can be used.If the canister contains 200 puffs and the patient administers 2 puffs 3 times each day,how long will the canister last?