Deck 22: Administration of Nonparenteral Medications

Question 1

The patient is to receive a buccal medication.Which information does the nurse include in patient teaching?

A) Hold the medication under the tongue.
B) Chew the medication before swallowing.
C) Swallow the medication after 30 seconds.
D) Hold the medication between the cheek and gums until it dissolves.

Answer 1

Hold the medication between the cheek and gums until it dissolves.

Question 2

A patient with chronic obstructive pulmonary disease uses a metered-dose inhaler (MDI).Which information does the nurse give the patient to ensure he receives the maximum benefit of the glucocorticoids administered by an MDI?

A) Administer two puffs of medication in rapid succession.
B) Maintain a firm seal with lips around the mouthpiece of the inhaler.
C) Dispense the glucocorticoids 30 seconds after a bronchodilator.
D) Instruct the patient to press the MDI after breathing in and out deeply.

Answer 2

Maintain a firm seal with lips around the mouthpiece of the inhaler.

Question 3

The nurse instructs the patient about applying a transdermal patch.Which should the nurse include in patient teaching?

A) Choose a site with moderate exposure to the sun.
B) Remove the old patch before applying a new patch.
C) Put the new patch at the same site to promote even absorption.
D) Apply a warm compress to the site before application.

Answer 3

Remove the old patch before applying a new patch.

Question 4

The nurse administers a vaginal suppository.What information should the nurse include in patient teaching about postadministration care?

A) Use a tampon to hold the suppository in place.
B) Place a perineal pad in her underpants when getting up.
C) Expect a moderate localized burning and itching.
D) Remain in the semi-Fowler's position for 2 hours.

Question 5

The nurse prepares to administer artificial tears to the patient's eyes twice daily.Which should the nurse implement when administering the patient's eyedrops?

A) Dispense the eyedrops to the inner corner of each eye.
B) Call the provider for clarification of this order.
C) Check the patient identifiers before administration.
D) Determine the patient's history of taking this medication.

Question 6

The healthcare provider prescribes a sublingual medication,and the pharmacy sends an oral form.Which action should the nurse implement?

A) Administer the identical drug orally.
B) Call the pharmacy for the correct formulation.
C) Withhold the drug and notify the provider.
D) Calculate the oral equivalent dose for the patient.

Question 7

The nurse is preparing to administer eardrops to a 5-year-old child.Nursing care is appropriate if which technique is used by the nurse?

A) Warm the eardrops in a microwave oven on low.
B) Pull the auricle upward and outward.
C) Apply eardrops to a cotton ball and insert them in the affected ear.
D) Instruct the child to lie with the affected ear on a warm compress.

Question 8

The nurse prepares medication for a patient 1 hour after admission.What information about the patient is the nurse's priority assessment before the initial administration of medication?

A) The diet history
B) Any drug tolerance
C) Any allergy history
D) The surgical history

Question 9

An alert and oriented patient is to receive oral medication.Which does the nurse implement to administer the prescribed medication?

A) Evaluates the patient's ability to take the medications unassisted
B) Leaves the medications on the breakfast tray for the patient to take later
C) Asks the patient if she wants to hold the medications in her hand
D) Holds the medicine cup to the patient's lips and tips it into the mouth

Question 10

The nurse is preparing a liquid medication.Which technique should the nurse use to ensure an accurate dose?

A) Place the medicine cup on the counter while standing over the cup to pour.
B) Use a syringe to transfer the medication into the medicine cup.
C) Pour the medication with the label on the bottle facing away from the nurse's hand.
D) Pour the dose so the scale is even with the fluid level at the base of the meniscus.

Question 11

The nurse needs to administer enteric-coated aspirin (Ecotrin)to the patient.The available aspirin is in a stock container on the unit because the pharmacy does not carry enteric-coated aspirin.Which is the best nursing approach for this situation?

A) Pour tablets from stock without touching them.
B) Withhold the medication and notify the healthcare provider.
C) Crush the tablets and mix the powder in pudding.
D) Pour aspirin tablets from a stock supply.

Question 12

The nurse teaches the patient how to administer eye ointment.Instruction by the nurse has been correct if the patient demonstrates which technique?

A) Moistens the finger with sterile saline
B) Places a thin ribbon of ointment along the conjunctiva
C) Rubs the medication briskly after application
D) Looks downward before application of the ointment

Question 13

The nurse prepares to administer cyclosporine (Restasis)eyedrops to a patient with dry eyes.Which of the following actions should the nurse implement before instilling the eyedrops?

A) Apply mild pressure on the entire eye.
B) Apply the eye ointment along inner edge of lower eyelid.
C) Remove any periorbital crusting with a warm face cloth.
D) Wipe away any crusting from the outer to the inner canthus.

Question 14

A patient's family member tells the nurse that she is afraid of hurting the patient when giving the eardrops since she hasn't seen it done.Which action should the nurse take first?

A) Observe caregiver administration of eardrops.
B) Provide a demonstration of eardrop instillation.
C) State that eardrop instillations do not injure ears.
D) Agree that instillation of eardrops is challenging.

Question 15

The patient complains of blurred vision after the instillation of eyedrops.What action should the nurse implement first?

A) Withhold the patient's ophthalmic drops.
B) Warm the eyedrops for subsequent doses.
C) Notify the ophthalmologist of the findings.
D) Ask the patient questions to clarify what is meant by "blurred."

Question 16

The nurse needs to administer a rectal suppository to a patient to treat constipation.Which action may the nurse delegate to the nursing assistive personnel (NAP)?

A) Inserting the suppository into patient's rectum
B) Notifying the patient's healthcare provider of the suppository results
C) Documenting the administration of a suppository after insertion
D) Informing the nurse of the bowel movement

Question 17

The nurse needs to document a medication that has just been administered.Which technique should the nurse use to document medication administration?

A) Document the medication immediately before administration.
B) Record the time administered and the nurse's name immediately after administration.
C) Record medication administration time, route, and dose at the end of the shift.
D) Delegate recording administration time and the nurse's name in the medication administration record (MAR).

Question 18

The nurse prepares to administer acetaminophen (Tylenol)650 mg rectally.Which does the nurse implement to administer the suppository properly?

A) Assists the patient to right lateral position and flexes the left leg
B) Performs a preadministration digital rectal examination
C) Washes hands and applies sterile gloves before the procedure
D) Inserts the suppository 10 cm (4 inches) into the patient's rectum

Question 19

The nurse is helping a dyspneic older adult with severe arthritis of the hands and feet to use a nebulizer for respiratory medications.Nursing care would be correct if the nurse takes which action during the medication administration?

A) Instructs the patient to hold the mouthpiece with the hands
B) Uses a mask to deliver the ordered medication
C) Places the patient in a supine position for the treatment
D) Has the patient drink some fluid before the treatment

Question 20

The nurse approaches a group of patients,one of whom is to receive a dose of medication.Which is the best method for the nurse to identify the patient needing the medication?

A) Question the entire group by calling for the specific patient.
B) Request that the other patients identify the patient.
C) Ask the patients who is scheduled to receive medications now.
D) Compare the patients' identification bracelets with the specific medication administration record (MAR) and ask the patient to state his name.

Question 21

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

Question 22

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?

A) 33 days
B) 34 days
C) 66 days
D) 100 days

Question 23

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

Question 24

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.)

A) Capsule
B) Scored tablet
C) Enteric-coated tablet
D) Buccal tablet

Question 25

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?

A) Warm the eardrops in a microwave oven on low.
B) Pull the pinna down and straight back.
C) Apply the eardrops to a cotton ball and insert in the affected ear.
D) Instruct the child to lie with the affected ear on a warm compress.

Question 26

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?

A) The patient self-administers the medication using the nebulizer.
B) The patient correctly describes the use of a small-volume nebulizer.
C) The patient recites side effects and clinical indicators to report.
D) The patient's respiratory rate falls to an acceptble level.

Question 27

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

A) The scored white tablet
B) The capsule
C) The buccal medication
D) The enteric-coated tablet

Question 28

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?

A) Pouring the medications slowly into the tube
B) Checking the gastric residual volume before feeding
C) Elevating the head of the bed at least 45 degrees
D) Flushing the tube between medications and after the last one

Question 29

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?

A) Stop any infusion of fluids or medications through the feeding tube.
B) Assess all of the patient's vital signs.
C) Notify the healthcare provider.
D) Reposition the patient.

Question 30

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