Chapter 8 Percutaneous Administration

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Chapter 8  Percutaneous Administration

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. A patient has an infected wound with large amounts of drainage. Which type of dressing would the nurse use?
A.
Telfa
B.
OpSite
C.
DuoDerm
D.
AlgiDERM

ANS: D

Feedback
A
Telfa does not absorb exudates.
B
OpSite does not absorb exudates.
C
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.
D
AlgiDERM is manufactured from seaweed and is recommended for infected wounds because it is an exudate absorber.

DIF: Cognitive Level: Comprehension REF: 108
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity

2. Where would the nurse apply nitroglycerin ointment on a male patient?
A.
The same site that was previously used
B.
A hairy area of the chest
C.
The upper arm
D.
The back of knee

ANS: C

Feedback
A
Sites should be rotated.
B
Hairy areas should be avoided.
C
Any area without hair may be used. Most people prefer the chest, flank, or upper arm areas.
D
This area is not suitable for applying medication because of the joint motion and difficulty of keeping a dressing in place.

DIF: Cognitive Level: Comprehension REF: 112
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity

3. Where will the nurse administer a medication that was ordered to be given sublingually?
A.
Between the molar teeth and cheek
B.
Below the skin surface
C.
Under the tongue
D.
Into the conjunctival sac

ANS: C

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

DIF: Cognitive Level: Knowledge REF: 116
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity

4. Why are sublingual and buccal medications rapidly absorbed?
A.
Their action is localized to the mouth.
B.
They are metabolized in the liver.
C.
Blood flow is diminished in these sites.
D.
These drugs pass directly into systemic circulation.

ANS: D

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

DIF: Cognitive Level: Comprehension REF: 116
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity

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