Chapter 07: Percutaneous Administration

Chapter 07: Percutaneous Administration

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A patient has an infected wound with large amounts of drainage. Which type of dressing would the nurse use?

ANS:  D

AlgiDERM is manufactured from seaweed and is recommended for infected wounds because it is an exudate absorber. Telfa and OpSite do not absorb exudates. DuoDerm is for light to moderate wound drainage. According to the manufacturer, it does absorb exudates, but it is best for wounds with moderate drainage.

DIF:    Cognitive Level: Comprehension     REF:   Page 83          OBJ:   1

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Tissue Integrity; Infection

2. Where would the nurse apply nitroglycerin ointment on a male patient?

ANS:  C

Any area without hair may be used. Most people prefer the chest, flank, or upper arm areas. Sites should be rotated. The back of the knee is not suitable for applying medication because of the joint motion and difficulty of keeping a dressing in place.

DIF:    Cognitive Level: Comprehension     REF:   Page 85          OBJ:   3

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Safety

3. Where will the nurse administer a medication that was ordered to be given sublingually?

ANS:  C

The sublingual area is underneath the tongue. Between the molar teeth and cheek is the buccal area. Medication administered below the skin surface is intradermal administration. The conjunctival sac is between the eyelids and eyeball.

DIF:    Cognitive Level: Knowledge            REF:   Page 88          OBJ:   5

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Safety

4. Why are sublingual and buccal medications rapidly absorbed?

ANS:  D

Sublingual medications are rapidly absorbed into systemic circulation because of the increased blood flow to these areas and avoid the “first pass” effect of the liver where extensive metabolism usually takes place. These routes do not contain drug effects to the oral area and they bypass the liver. These sites are highly vascular.

DIF:    Cognitive Level: Comprehension     REF:   Page 88          OBJ:   5

TOP:   Nursing Process Step: Assessment

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:   CONCEPT(S): Clinical Judgment; Safety