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Chapter 16 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

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Chapter 16 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

  • The nurse delivers the smallest size droplet for inhalation of medication, called: 1)
  1. A) B) Atomization.
  2. C) D) Humidification.

Answer: A

Explanation: A)       Nebulization includes both aerosolization and atomization. Aerosolization is the smallest of this form of medication administration, and is smaller than the droplets

formed by humidification.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

  1. Nebulization includes both aerosolization and Aerosolization is the smallest of this form of medication administration, and is smaller than the droplets

formed by humidification.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

  1. Nebulization includes both aerosolization and Aerosolization is the smallest of this form of medication administration, and is smaller than the droplets

formed by humidification.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

  1. Nebulization includes both aerosolization and Aerosolization is the smallest of this form of medication administration, and is smaller than the droplets

formed by humidification.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

Objective: Learning Outcome 16-1: Define the key terms used in the skills of administering topical

medications.

  • The nurse pours normal saline over the client’s eye to wash out particles, and documents the 2)

wound was:

  1. A) B) Instilled.                      C) Irrigated.         D) Sterilized.

Answer: C

Explanation: A)       Irrigation is washing out the area with fluid at low pressure that drains back out of the area, such as irrigating a wound or the eye. To instill is to put something into the area that will remain in place long enough for the solution to have an effect, such as instilling medication into the eye. To moisturize is to apply a fluid to replace the lost fluid from the cell, while to sterilize is to remove pathogens.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

 

  1. Irrigation is washing out the area with fluid at low pressure that drains back out of the area, such as irrigating a wound or the To instill is to put something into the area that will remain in place long enough for the solution to have an effect, such as instilling medication into the eye. To moisturize is to apply a fluid to replace the lost fluid from the cell, while to sterilize is to remove pathogens.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

  1. Irrigation is washing out the area with fluid at low pressure that drains back out of the area, such as irrigating a wound or the To instill is to put something into the area that will remain in place long enough for the solution to have an effect, such as instilling medication into the eye. To moisturize is to apply a fluid to replace the lost fluid from the cell, while to sterilize is to remove pathogens.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

  1. Irrigation is washing out the area with fluid at low pressure that drains back out of the area, such as irrigating a wound or the To instill is to put something into the area that will remain in place long enough for the solution to have an effect, such as instilling medication into the eye. To moisturize is to apply a fluid to replace the lost fluid from the cell, while to sterilize is to remove pathogens.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 16-1: Define the key terms used in the skills of administering topical

medications.

  • The nurse applying a transdermal medication patch performs all of the following actions except: 3)
  1. Removing the old patch prior to placing the new
  2. Donning gloves prior to administering the
  3. Applying the patch to the same area where the old patch was
  4. Cleansing the site where the patch is to be applied with soap and

Answer: C

Explanation: A)      Transdermal patches should always be applied to a different area in order to improve absorption of the medication. The old patch should be removed prior to placing the new patch in order to avoid the risk of forgetting and having two patches in place with the same medication. The nurse should wear gloves when working with transdermal patches to avoid getting medication on her skin. The site where the new patch will go should be cleaned to prevent oils from interfering with adherence of the patch.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

  1. B) Transdermal patches should always be applied to a different area in order to

improve absorption of the medication. The old patch should be removed prior to placing the new patch in order to avoid the risk of forgetting and having two patches in place with the same medication. The nurse should wear gloves when working with transdermal patches to avoid getting medication on her skin. The site where the new patch will go should be cleaned to prevent oils from interfering with adherence of the patch.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

 

  1. Transdermal patches should always be applied to a different area in order to

improve absorption of the medication. The old patch should be removed prior to

placing the new patch in order to avoid the risk of forgetting and having two

patches in place with the same medication. The nurse should wear gloves when working with transdermal patches to avoid getting medication on her skin. The site where the new patch will go should be cleaned to prevent oils from interfering with adherence of the patch.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

  1. Transdermal patches should always be applied to a different area in order to

improve absorption of the medication. The old patch should be removed prior to

placing the new patch in order to avoid the risk of forgetting and having two

patches in place with the same medication. The nurse should wear gloves when working with transdermal patches to avoid getting medication on her skin. The site where the new patch will go should be cleaned to prevent oils from interfering with adherence of the patch.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 16-2: Verbalize the steps used when administering the following topical medications:

  1. Dermatologic
  2. Ophthalmic
  3. Otic
  4. Nasal
  5. Metered-dose inhalers
  6. Vaginal
  7. Rectal

 

  • The nurse receives a written order for ophthalmic medication to be administered OU to an adult 4) The nurse would administer this medication by:
  1. Pulling the pinna up and back, and dropping the medication into the left
  2. Pulling the pinna down and forward, and dropping the medication into both
  3. Expose the lower conjunctival sac of the left eye, and dropping the medication into the
  4. Expose the lower conjunctival sac of both eyes, and dropping the medication into the

Answer: D

Explanation: A) OU stands for both eyes, so the medication should be administered into the conjunctival sac of both eyes.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

  1. OU stands for both eyes, so the medication should be administered into the conjunctival sac of both

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

  1. OU stands for both eyes, so the medication should be administered into the conjunctival sac of both

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

  1. OU stands for both eyes, so the medication should be administered into the conjunctival sac of both

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 16-2: Verbalize the steps used when administering the following topical medications:

  1. Dermatologic
  2. Ophthalmic
  3. Otic
  4. Nasal
  5. Metered-dose inhalers
  6. Vaginal
  7. Rectal

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