Question 1

Which of the following contraindicate the patient's receiving medications by mouth? (Select all that apply.)

Accepted Answer

A)  Gastrointestinal alterations 
B)  The inability to swallow food 
C)  The inability to swallow liquids 
D)  The use of gastric suction 
E)   None of above 
A)  Gastrointestinal alterations 
B)  The inability to swallow food 
C)  The inability to swallow liquids 
D)  The use of gastric suction 
E)   None of above

Question 2

The nurse is teaching the patient how to use a topical medication.Which statement indicates an understanding of the procedure?

Accepted Answer

A)  "If the patch starts to come off, I can secure it with tape." 
B)  "If the patch falls off, I will put a new one on in the same place." 
C)  "If my skin is irritated, I will cleanse it using water only." 
D)  "I can dispose of used materials in the household trash as usual." 
A)  "If the patch starts to come off, I can secure it with tape." 
B)  "If the patch falls off, I will put a new one on in the same place." 
C)  "If my skin is irritated, I will cleanse it using water only." 
D)  "I can dispose of used materials in the household trash as usual."

Question 3

The patient has been complaining of chest pressure.After the appropriate assessment,the nurse gives the patient sublingual nitroglycerin,telling the patient not to swallow the medication.Why are these instructions important?

Accepted Answer

A)  The effects of the medication will be nullified if swallowed. 
B)  Sublingual drugs begin to dissolve when placed on the tongue. 
C)  The medication needs to be held against the cheek membranes. 
D)  The patient may aspirate on the water used for these medications. 
A)  The effects of the medication will be nullified if swallowed. 
B)  Sublingual drugs begin to dissolve when placed on the tongue. 
C)  The medication needs to be held against the cheek membranes. 
D)  The patient may aspirate on the water used for these medications.

Exam 21: Oral and Topical Medications

Which of the following contraindicate the patient's receiving medications by mouth? (Select all that apply.)

The nurse is teaching the patient how to use a topical medication.Which statement indicates an understanding of the procedure?

The patient has been complaining of chest pressure.After the appropriate assessment,the nurse gives the patient sublingual nitroglycerin,telling the patient not to swallow the medication.Why are these instructions important?

Using Evidence in Nursing Practice

Admitting, transfer, and Discharge

Communication

Reporting and Recording

Vital Signs

Health Assessment

Medical Asepsis

Sterile Technique

Safe Patient Handling, transfer, and Positioning

Exercise and Ambulation

Orthopedic Measures

Support Surfaces and Special Beds

Safety

Disaster Preparedness

Pain Assessment and Basic Comfort Measures

Palliative Care

Personal Hygiene and Bedmaking

Pressure Ulcer Care

Care of Eye and Ear Prostheses

Safe Medication Preparation

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Closed Chest Drainage

Emergency Measures for Life Support

Intravenous and Vascular Access Therapy

Blood Transfusions

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination

Ostomy Care

Preoperativepostoperative Care

Intraoperative Care

Wound Care and Irrigations

Dressings,bandages,and Binders

Warm and Cold Therapy

Home Care Safety

Home Care Teaching

Specimen Collection

Diagnostic Procedures

Filters