Chapter 10. Parental Medications and Administration

Chapter 10. Parental Medications and Administration

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Identify the choice that best completes the statement or answers the question.

 

____     1.   The nurse is applying hydrocortisone cream to a client’s rash. Which statement would be included in the nurse’s instructions to the client?

A.	“This medication increases blood flow to the skin and helps reduce pain.”
B.	“This will be absorbed through the skin to help reduce the itch.”
C.	“Since this is water-based it may leave a greasy feeling to your skin.”
D.	“Be sure to shake this well and apply it with a cotton ball.”

 

 

____     2.   The instructor is supervising medication administration in a home setting. Which action would require an intervention?

A.	The student wears gloves to remove a Nicoderm patch.
B.	The student removes a patch from the left arm and places a new patch on the right arm.
C.	The student folds the old patch in half and discards it in the trash can.
D.	The student places the patch on an area of skin that has minimal hair.

 

 

____     3.   While teaching a client who is to begin ophthalmic ointment and drops bid, the nurse would instruct the client to place the ointment:

A.	Along the inner aspect of the lower eyelid
B.	In the eye before putting in the drops
C.	Along the lash line with a cotton swab
D.	In a circular motion along the both lids

 

 

____     4.   When providing ear drops for an 81-year-old patient to help soften the cerumen, which action by the nurse is best?

A.	Have the client lean his head back while sitting upright in a chair.
B.	Pull the pinna up and back to straighten the ear canal.
C.	Rotate the bottle gently between the hands after removing from the refrigerator.
D.	Observe the seven “rights” of proper medication administration.

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  B                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Medication Administration      KEY:  Analysis

MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Topical Medications and Administration (p. 162): Hydrocortisone cream is issued for itchy skin patches. Lotions are similar to creams in that they are water-based and less greasy; they are painted on to allow medication to stay on the target area and not absorb into the skin—an example is calamine lotion, which must be shaken and applied with a cotton ball. The directions involve a cream, so there is no need to shake or paint this medication.

 

2. ANS:  C                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Medication Administration      KEY:  Application

MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Solid Preparations (p. 163): If patches are not disposed of properly, pets or small children finding the patches in the garbage may be exposed to the medication and become very sick. Wear gloves so the medication from the patch does not enter your body. Rotate sites to reduce the risk of skin irritation. Apply the transdermal patch to an appropriate location on the body—excess hair will make it difficult for the patch to stick and painful to remove.

 

3. ANS:  A                    PTS:   1                    DIF:    Easy

TOP:   Therapeutic Classification: Medication Administration      KEY:  Application

MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Ophthalmic Medication and Administration (p. 165) Procedure Box 10.2: Apply ointment by placing a line of ointment on the inner aspect of the lower eyelid; use drops before ointment if both are ordered.

 

4. ANS:  B                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Medication Administration      KEY:  Application

MSC:  NCLEX Category: Pharmacological Therapies

NOT:   See Otic Medications and Administration Procedure Box 10.3 (p. 166): Pull the pinna up and back for adults. Have the client place his or her head on a counter or lie down on an examination table with the affected ear up. Make sure the medication is at room temperature, not cold. Observe the seven rights of medication administration.