Nonparenteral Medication Administration- Mod 5

Which medication administration activity can be delegated to nursing assistive personnel (NAP)? A. application of a skin barrier cream to the perineal area. B. Application of a transdermal patch. C.Instillation of eye drops. D.Instillation of ear drops. E. Use of MDIs. F. Inserting vaginal medications G. Inserting rectal medications

A. Application of a skin barrier cream to the perineal area

Which are correct regarding administration of a rectal suppository for relief of constipation? (Select all that apply) A. Place patient in left Sims' position. B. Place patient in right Sims' position. C. Insert the blunt end first. D. Insert the rounded end first. E. Avoid using water soluble lubricant. F. Insert the suppository past the internal sphincter.

A. Place patient in left Sims' position. D. Insert the rounded end first. F. Insert the suppository past the internal sphincter.

Why is it important to hold a transdermal patch by the edge after it is removed from its protective covering? (Select all that apply.) A. So the medication dosage will remain unchanged B. So you do not absorb the medication into your system C. so the patch will adhere well to the patient's skin D. To activate the medication for a therapeutic effect E. So the patch will remain sterile

A. So the medication dosage will remain unchanged C. So the patch will adhere well to the patient's skin

The NAP reports the patient is complaining of dizziness and nausea after the administration of ear drops. What is the most likely cause of the dizziness? A. The medication was too cold when it was administered. B. Cerumen or drainage is occluding the ear canal. C. Too much pressure was applied during instillation with subsequent injury to the eardrum. D. The patient failed to remain in the side-lying position long enough.

A. The medication was too cold when it was administered.

The nurse is administering eye drops. The nurse: Performs hand hygiene applies the 6 rights of medication administration uses two identifiers to check the patient's identification asks the patient to lie supine with the neck slightly hyperextended applies clean gloves holds a clean tissue in the nondominant hand on the patient's cheekbone just below the lower eyelid and gently presses downward with the forefinger against the bony orbit, exposing the conjunctival sac asks the patient to look at the ceiling resting the dominant hand gently on the patient's forehead, the nurse holds the filled medication eye dropper approximately 1 to 2 cm (one half to three quarters of an inch) above the conjunctival sac administers the prescribed number of medication drops into the conjunctival sac gently applies pressure to the patient's nasolacrimal duct with a cotton ball or tissue for 30 to 60 seconds asks the patient to close the eyes gently discards the gloves, performs hand hygiene and documents the procedure. Which actions, if any, require further teaching? A. The nurse performed the procedure correctly. B. Positioning the patient. C. Resting the dominant hand on the patient's forehead. D. The type of gloves the nurse used.

A. The nurse performed the procedure correctly.

Which are typical symptoms of a vaginal yeast (Candida) infection? A. Thick, white, curdlike discharge B.Bright pink and/or inflamed vaginal walls C. Abdominal discomfort D. Fever E. Nausea

A. Thick, white, curdlike discharge B. Bright pink and/or inflamed vaginal walls

Which would be a contraindication for inserting a rectal suppository? A. rectal bleeding B. hemorrhoids C. diarrhea D. constipation E. recent rectal surgery

A. rectal bleeding C. diarrhea E. recent rectal surgery

The patient is to receive Nitrodisc (nitroglycerin) 0.4 mg/h topically. The nurse has been teaching the patient about the medication. Which is accurate information to review with the patient? A. To obtain a therapeutic level nitroglycerin is usually administered simultaneously in oral form and topically. B. It is recommended that nitroglycerin transdermal patches by removed after 10 or 12 hours to allow for a nitrate-free interval. C. There is little risk of overdose with nitroglycerin as the medication's effect expires as it is absorbed into the body. D. It is important to keep the Nitrodisc (nitroglycerin) in the same area of the chest; remove the old patch and place the new patch in the same place.

B. It is recommended that nitroglycerin transdermal patches be removed after 10 to 12 hours to allow for a nitrate-free interval.

The nurse is teaching the patient how to use an MDI with a spacer device. Which statement, if made by the patient, indicates further teaching is required? A. " I should remove the mouthpiece cover from the inhaler and spacer, insert the MDI into the end of the spacer, and shake the inhaler well for 2 to 5 seconds." B. "I should close my mouth around the mouth piece of the spacer, depress the medication canister and breathe in slowly and fully for 5 seconds, then hold my breath for approx 10 seconds." C. "I should wait 20 to 30 seconds between puffs and 2 to 5 minutes between inhalations of different medications. I should administer the inhaled steroids first followed by the bronchodilator." D. "I should rinse my mouth with warm water, then spit the water out after each use of the MDI."

C. "I should wait 20 to 30 seconds between puffs and 2 to 5 minutes between inhalations of different medications. I should administer the inhaled steroids first followed by the bronchodilator."

A patient has been prescribed eye drops for the treatment of glaucoma. The nurse is observing the patient self-administer the eye drops. Which action by the patient requires further teaching? A. The patient cleans the eye from the inner to the outer canthus. B. The patient looks upward toward the ceiling and administers the eye drops in the conjunctival sac. C. The patient touches the conjunctival sac with the eyedropper to make sure she is in the correct location. D. While administering the eye drops, a drop lands on the patient's outer lid so the patient administers another drop.

C. The patient touches the conjunctival sac with the eyedropper to make sure she is in the correct location.

The ear canal should be straightened when instilling ear drops to provide direct access to deeper ear structures. In what direction should the auricle be pulled in an infant to straighten the ear canal? A. Upward and outward B. Upward and back C. Downward and back D. Downward and inward

C.Downward and back

A medication label states, "For Parenteral Use Only." What is the correct interpretation of this statement? A. The medication should be given orally so it is absorbed through the GI tract. B. The medication should only be used in adults. C. The medication should be administered topically. D. The medication should be administered by injection.

D. The medication should be administered by injection.