Deck 16: Administering Topical Medications

Question 1

The nurse is teaching the client to use a metered-dose inhaler.Which information will the nurse provide to the client?

A)Take a deep breath,hold it,and then gently squeeze the inhaler to dispense the medication.
B)Take several slow deep breaths in through the nose and out through the mouth,then squeeze the inhaler while taking a deep breath.
C)Exhale comfortably,squeeze the cannister to discharge the medication,and inhale slowly and deeply through the mouth,then hold the breath for 10 seconds,or as long as possible.
D)Exhale deeply,squeeze the cannister to discharge the medication,and inhale slowly and deeply through the mouth,then hold the breath for 10 seconds,and exhale through the nose.

Answer 1

Exhale comfortably,squeeze the cannister to discharge the medication,and inhale slowly and deeply through the mouth,then hold the breath for 10 seconds,or as long as possible.

Question 2

The nurse is acting as medication nurse for the unit.How often will the nurse document medication administration?

A)Every 2 hours for all clients
B)Every 4 hours for all clients
C)At the end of the shift for all clients
D)After each client receives a medication

Answer 2

After each client receives a medication

Question 3

The nurse is administering rectal acetaminophen to a toddler-age client.The suppository is most easily inserted when the nurse completes which items?

A)Keeps the suppository in the refrigerator.
B)Lubricates the end to be inserted.
C)Lubricates the index finger.
D)Instructs the client to take deep breaths in through the nose.
E)Inserts the suppository 10 cm.

Answer 3

Keeps the suppository in the refrigerator.
Lubricates the end to be inserted.
Lubricates the index finger.

Question 4

The nurse receives a written order for ophthalmic medication to be administered OU to an adult client.Which action by the nurse when administering this medication is the most appropriate?

A)Pulling the pinna up and back,and dropping the medication into the left ear
B)Pulling the pinna down and forward,and dropping the medication into both ears
C)Exposing the lower conjunctival sac of the left eye,and dropping the medication into the sac
D)Exposing the lower conjunctival sac of both eyes,and dropping the medication into the sac

Question 5

The nurse is preparing to administer an opthalmic medication.Which step is critical for the nurse to perform when administering this type of medication?

A)Touching the eye with the medication
B)Wearing gloves when administering eye medications
C)Using the index finger to hold open the eye
D)Using two fingers to open the eyelids

Question 6

The nurse delivers the smallest size droplet for inhalation of medication.When documenting this action,which term will the nurse use?

A)Aerosolization
B)Atomization
C)Nebulization
D)Humidification

Question 7

When administering otic drops,which action by the nurse when pulling the pinna is the most appropriate?

A)Down and back for the child under 3 years of age
B)Down and back for the adult client
C)Down and back for the child under 5 years of age
D)Up and back for the child under 3 years of age

Question 8

The nurse is administering nasal drops to treat the eustachian tube.Which position will the nurse place the client in when administering the drops?

A)Back-lying with the head over the edge of the bed
B)Back-lying
C)Back-lying with the head over the edge of the bed and the head turned toward the affected side
D)Back-lying with the head over the edge of the bed and the head turned away from the affected side

Question 9

The nurse has just taught the client the proper use of the daily maintenance inhaler.Which statement made by the client indicates appropriate understanding of the teaching session?

A)"I will breath out when I depress medication."
B)"I will use the inhaler I have even if expired."
C)"I will inhale slowly as I depress the medication canister fully."
D)"This is my emergency inhaler."

Question 10

Which nursing action is inappropriate when applying a transdermal medication patch?

A)Removing the old patch prior to placing the new patch
B)Donning gloves prior to administering the medication
C)Applying the patch to the same area where the old patch was removed
D)Cleansing the site where the patch is to be applied with soap and water

Question 11

The unlicensed assistive personnel (UAP)is assisting the nurse with topical medications.Which actions by the UAP are not appropriate?

A)Assessing a skin rash
B)Applying antibiotic cream
C)Applying lotion to dry skin after a bath
D)Asking the nurse to look at an area of skin excoriation
E)Applying cream to the client's skin due to itching

Question 12

The nurse pours normal saline over the client's eye to wash out particles.Which phrase will the nurse use when documenting this procedure?

A)"Moisturized the eye with normal saline"
B)"Instilled normal saline into the eye"
C)"Irrigated the eye with normal saline"
D)"Sterilized the eye with normal saline"

Question 13

After the nurse instructs the client on the proper use of nasal spray,which statement made by the client indicates an appropriate understanding of the teaching session?

A)"I must gargle with warm water prior to spraying of medication."
B)"I need to keep my head tilted back during the spraying."
C)"I must pinch off one side of my nose when spraying into the other side."
D)"I will take a deep breath and blow out all of my air before spraying."

Question 14

The nurse is administering a vaginal cream.After inserting the applicator and administering the cream,which instruction will the nurse provide to the client?

A)Wash the perineal area.
B)Remain supine for 5-10 minutes.
C)Sit in the chair for 5-10 minutes.
D)Lie in a side-lying position for 5-10 minutes.