Oral and Topical Medication Flashcards
Unit 2
A nurse is teaching the adult child of a client about instilling eyedrops in the clients right eye which of the following statements by the clients adult child indicates an understanding of the teaching?
A. “I will have my mother look down while dropping the medication into her eye.”
B. “I will instruct my mother to tightly close her eye for 30 to 60 seconds after the medication has been given.”
C. “I should apply the medication using a thin stream from the inner canthus to the outer canthus.”
D. “I will pull down her lower eyelid and drop the medication inside.”
D. “I will pull down her lower eyelid and drop the medication inside.”
RATIONALE:
This method will allow the medication to be distributed evenly across the eye with minimal discomfort.
A nurse is preparing to instill antibiotic ear drops into the ear of a 2 year old child. Which of the following techniques should the nurse use when administering ear drops to this client?
A. Have the client maintain a side-lying position for 30 min after administration of the ear drops.
B. Pull the client’s auricle down and back to open the canal when administering the ear drops.
C. Don sterile gloves prior to administration of the ear drops.
D. Insert the tip of the dropper into the ear canal when administering the ear drops.
B. Pull the client’s auricle down and back to open the canal when administering the ear drops.
RATIONALE;
The auricle should be pulled down and back for young children and up and out for adults.
A nurse is caring for a client who has COPD for which of the following inhalation medication delivery methods should the nurse assess the clients ability to inhale deeply?
A. Dry powder inhaler (DPI)
B. Nasal spray
C. Metered dose inhaler (MDI) with attached spacer
D. Use of a nebulizer via a mask
A. Dry Powder Inhaler (DPI)
This method has no propellant and requires a deep inhalation to trigger the release of medication. Therefore, it is important for the nurse to assess the client’s ability to inhale deeply for this type of inhalation medication delivery method.
A nurse is preparing to administer several medications to a client who is receiving intro feeding through a small bore nasogastric tube which of the following actions should the nurse take to ensure the medications are administered correctly?
Medications should be instilled via gravity, flushing before and after with water.
A nurse is administering aspirin 81mg PO daily to a client who has a history of myocardial infarction the medication is scheduled for 0800 which of the following scenarios demonstrates proper use of the 10 rights of medication administration?
A. The nurse performs the first check of the correct dosage at the client’s bedside.
B. The nurse identifies the client by stating the client’s name as written on the medication administration record.
C. The nurse documents that the aspirin was given at 0825.
D. The nurse opens the 81 mg aspirin unit dose package prior to entering the client’s room.
C. The nurse documents that the aspirin was given at 0825.
RATIONALE:
Routinely prescribed medications should be given within 30 min of the time ordered.
A nurse is preparing to administer a clients medication the client states the medication makes them feel nauseated and refuses to take it which of the following actions should the nurse take?
A. Document the reason for refusal along with the date and time in the client’s medical record.
B. Tell the client that if they don’t take the medication that they will not get any better.
C. Place the medication on the client’s bedside so they can take it when they are no longer nauseated.
D. Notify the pharmacist that the client refuses to take the medication.
A. Document the reason for refusal along with the date and time in the client’s medical record.
**The client has the right to refuse medication. Refusals must be documented in the client’s record with the date, time, and reason for refusal, if known.
A nurse is preparing to administer medications for a client who has a nasogastric tube which of the following actions should the nurse take prior to administering the medication?
A. Check tube placement by inserting air into the tube while auscultating at the gastric fundus.
B. Percuss the client’s abdomen to assess for areas of tympany and dullness.
C. Observe the amount of residual volume left in the stomach.
D. Determine the client’s ability to cooperate with instructions.
C. Observe the amount of residual volume left in the stomach.
RATIONALE * Checking residual volume prevents putting medications into an already full stomach.
A nurse is caring for a client who has a prescription for a fluticasone propionate inhaler with a spacer the client asked the nurse why a spacer is needed with the inhaler which of the following responses should the nurse make?
A. “By using a spacer, you can take the medication correctly without any spills.”
B. “You can inhale five or more puffs in 1 minute when using a spacer.”
C. “By using a spacer, you eliminate the need for mouth rinsing after administration.”
D. “More medication is delivered to the lungs when you use a spacer.”
D. “More medication is delivered to the lungs when you use a spacer.”
RATIONALE :
A spacer slows down and breaks up the medication, allowing the client to better control the flow of medication. This, in turn, decreases the amount of medication deposited in the oropharynx.
A nurse is preparing to administer a clients medication the client states the medication makes them feel nauseated and refuses to take it which of the following actions should the nurse take?
A. Document the reason for refusal along with the date and time in the client’s medical record.
B. Tell the client that if they don’t take the medication that they will not get any better.
C. Place the medication on the client’s bedside so they can take it when they are no longer nauseated.
D. Notify the pharmacist that the client refuses to take the medication.
A. Document the reason for refusal along with the date and time in the client’s medical record.
RATIONALE:
The client has the right to refuse medication. Refusals must be documented in the client’s record with the date, time, and reason for refusal, if known.
