Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
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Chapter 33- Topical and Inhalant Medications
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A client with dry skin has been prescribed an inunction. Which of the following should the nurse do to promote absorption of the ointment? | |
| A) | Shaking the contents of the ointment | |
| B) | Applying inunction with a cotton ball | |
| C) | Rubbing the ointment into the skin | |
| D) | Warming the inunction before application | |
| Ans: | C | |
| Feedback: | ||
| In order to promote absorption, the nurse should rub the ointment into the client’s skin. Shaking the contents would mix the contents uniformly, whereas applying with a cotton ball would distribute the substance over a wide area. Warming the ointment before application would provide comfort but does not necessarily aid absorption. | ||
| 2. | A nurse is preparing a prescribed dosage of an inhalant medication for a client with asthma. Which of the following explains why inhalation is an effective route for medication administration? | |
| A) | It allows the lungs to quickly absorb the medication. | |
| B) | It eliminates the risks of adverse effects associated with other routes. | |
| C) | It prevents unpleasant aftertastes associated with oral medications. | |
| D) | It eliminates the potential of suffocation and asphyxia. | |
| Ans: | A | |
| Feedback: | ||
| The inhalant route is effective because the lungs provide an extensive area from which the circulatory system can quickly absorb the medication. The inhalant method distributes medication to distal areas of the airways, but some clients find that the inhaled drugs leave an unpleasant aftertaste. Inhalants carry some risk of suffocation and asphyxia. Inhalants are not free of potential adverse effects. | ||
| 3. | A client at a health care facility has been prescribed scopolamine, to be administered transdermally. Which of the following statements describes transdermal application? | |
| A) | Drugs within a thick base applied, not rubbed, into the skin | |
| B) | Drugs bonded to an adhesive and applied to the skin | |
| C) | Drugs placed against the mucous membrane of the inner cheek | |
| D) | Drugs placed under the tongue and allowed to dissolve slowly | |
| Ans: | B | |
| Feedback: | ||
| Transdermal applications are drugs that are bonded to an adhesive and applied to the skin. After application, the drug migrates through the skin and eventually is absorbed into the blood stream. Pastes are drugs within a thick base that are applied, but not rubbed, into the skin. Sublingual applications are drugs that are placed under the tongue and left to dissolve slowly. Buccal applications are drugs that are placed against the mucous membrane of the inner cheek. | ||
| 4. | A nurse is caring for a client at a health care facility who is experiencing nicotine withdrawal and has been prescribed a nicotine patch. Which of the following is true with regard to the application of a transdermal patch? | |
| A) | The patch is mostly applied to lower parts of the body. | |
| B) | A new patch is placed in exactly the same location as the previous one. | |
| C) | The patch is applied to a skin area with adequate circulation. | |
| D) | The drug becomes inactive immediately after the patch is removed. | |
| Ans: | C | |
| Feedback: | ||
| When applying a transdermal patch, the nurse should be aware that a patch is applied to a skin area with adequate circulation. Most patches are applied to parts of the upper body such as the chest, shoulders, and upper arms. Small patches can be applied behind the ear. Each time a new patch is applied, it is placed in a slightly different location. The drug may still be active for up to 30 minutes after removal of the patch. | ||
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