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Chapter 8: Percutaneous Administration
Test Bank
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
AlgiDERM is manufactured from seaweed and is recommended for infected wounds because
it is an exudate absorber. Telfa and OpSite do not absorb exudates. 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.
m
DIF: Cognitive Level: Comprehension REF: p. 105 OBJ: 1
er as
TOP: Nursing Process Step: Implementation
co
MSC: NCLEX Client Needs Category: Physiological Integrity
eH w
2. Where would the nurse apply nitroglycerin ointment on a male patient?
o.
rs e
a. The same site that was previously used
b. A hairy area of the chest
ou urc
c. The upper arm
d. The back of the knee
o
ANS: C
aC s
Any area without hair may be used. Most people prefer the chest, flank, or upper arm areas.
vi y re
Sites should be rotated. The back of the knee is not suitable for applying medication because
of the joint motion and difficulty of keeping a dressing in place.
DIF: Cognitive Level: Comprehension REF: p. 107 OBJ: 2 | 5
ed d
TOP: Nursing Process Step: Implementation
ar stu
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
is
b. Below the skin surface
c. Under the tongue
Th
d. Into the conjunctival sac
ANS: C
The sublingual area is underneath the tongue. Between the molar teeth and cheek is the buccal
sh
area. Medication administered below the skin surface is intradermal administration. The
conjunctival sac is between the eyelids and eyeball.
DIF: Cognitive Level: Knowledge REF: p. 113 OBJ: 9
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
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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
Sublingual medications are rapidly absorbed into systemic circulation because of the
increased blood flow to these areas and avoid the “first pass” effect of the liver where
extensive metabolism usually takes place. These routes do not contain drug effects to the oral
area and they bypass the liver. These sites are highly vascular.
DIF: Cognitive Level: Comprehension REF: p. 113 OBJ: 9
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
5. Which medications must be sterile?
a. Topical
m
b. Vaginal
er as
c. Ophthalmic
co
d. Nasal
eH w
ANS: C
o.
Ophthalmic (eye) medications must be sterile. Topical, vaginal, and nasal applications do not
need to be sterile. rs e
ou urc
DIF: Cognitive Level: Knowledge REF: p. 113 OBJ: 9
TOP: Nursing Process Step: Implementation
o
MSC: NCLEX Client Needs Category: Physiological Integrity
aC s
6. Which action will the nurse perform when doing a wet to dry dressing every 4 hours on a
vi y re
patient with a deep wound?
a. Pack the wound tightly with gauze.
b. Saturate the dressing with as much liquid as possible.
ed d
c. Use Montgomery tapes or a binder to secure the dressing.
ar stu
d. Apply the new moist dressing over the existing one.
ANS: C
The use of Montgomery tapes or a binder reduces the irritation of nearby skin tissue. The
is
dressing should be packed into the wound loosely. The dressings should be wrung out to
prevent dripping. The previous dressing should always be completely removed.
Th
DIF: Cognitive Level: Application REF: p. 106 OBJ: 2
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
sh
7. When applying nitroglycerin topically, which nursing intervention is correct?
a. Secure the paper on two sides with tape.
b. Shave the area prior to application of the paper.
c. Wear gloves while placing the new paper.
d. Remind the patient to discontinue use of the medication if chest pain is relieved.
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:31:02 GMT -05:00
https://www.coursehero.com/file/8889658/CH-8-Percutaneous-Administration/
Downloaded by: Sophiie |
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Chapter 8: Percutaneous Administration
Test Bank
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
AlgiDERM is manufactured from seaweed and is recommended for infected wounds because
it is an exudate absorber. Telfa and OpSite do not absorb exudates. 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.
m
DIF: Cognitive Level: Comprehension REF: p. 105 OBJ: 1
er as
TOP: Nursing Process Step: Implementation
co
MSC: NCLEX Client Needs Category: Physiological Integrity
eH w
2. Where would the nurse apply nitroglycerin ointment on a male patient?
o.
rs e
a. The same site that was previously used
b. A hairy area of the chest
ou urc
c. The upper arm
d. The back of the knee
o
ANS: C
aC s
Any area without hair may be used. Most people prefer the chest, flank, or upper arm areas.
vi y re
Sites should be rotated. The back of the knee is not suitable for applying medication because
of the joint motion and difficulty of keeping a dressing in place.
DIF: Cognitive Level: Comprehension REF: p. 107 OBJ: 2 | 5
ed d
TOP: Nursing Process Step: Implementation
ar stu
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
is
b. Below the skin surface
c. Under the tongue
Th
d. Into the conjunctival sac
ANS: C
The sublingual area is underneath the tongue. Between the molar teeth and cheek is the buccal
sh
area. Medication administered below the skin surface is intradermal administration. The
conjunctival sac is between the eyelids and eyeball.
DIF: Cognitive Level: Knowledge REF: p. 113 OBJ: 9
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:31:02 GMT -05:00
https://www.coursehero.com/file/8889658/CH-8-Percutaneous-Administration/
Downloaded by: Sophiie |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
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
Sublingual medications are rapidly absorbed into systemic circulation because of the
increased blood flow to these areas and avoid the “first pass” effect of the liver where
extensive metabolism usually takes place. These routes do not contain drug effects to the oral
area and they bypass the liver. These sites are highly vascular.
DIF: Cognitive Level: Comprehension REF: p. 113 OBJ: 9
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
5. Which medications must be sterile?
a. Topical
m
b. Vaginal
er as
c. Ophthalmic
co
d. Nasal
eH w
ANS: C
o.
Ophthalmic (eye) medications must be sterile. Topical, vaginal, and nasal applications do not
need to be sterile. rs e
ou urc
DIF: Cognitive Level: Knowledge REF: p. 113 OBJ: 9
TOP: Nursing Process Step: Implementation
o
MSC: NCLEX Client Needs Category: Physiological Integrity
aC s
6. Which action will the nurse perform when doing a wet to dry dressing every 4 hours on a
vi y re
patient with a deep wound?
a. Pack the wound tightly with gauze.
b. Saturate the dressing with as much liquid as possible.
ed d
c. Use Montgomery tapes or a binder to secure the dressing.
ar stu
d. Apply the new moist dressing over the existing one.
ANS: C
The use of Montgomery tapes or a binder reduces the irritation of nearby skin tissue. The
is
dressing should be packed into the wound loosely. The dressings should be wrung out to
prevent dripping. The previous dressing should always be completely removed.
Th
DIF: Cognitive Level: Application REF: p. 106 OBJ: 2
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
sh
7. When applying nitroglycerin topically, which nursing intervention is correct?
a. Secure the paper on two sides with tape.
b. Shave the area prior to application of the paper.
c. Wear gloves while placing the new paper.
d. Remind the patient to discontinue use of the medication if chest pain is relieved.
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:31:02 GMT -05:00
https://www.coursehero.com/file/8889658/CH-8-Percutaneous-Administration/
Downloaded by: Sophiie |
Distribution of this document is illegal
