NURS 1871 EXAM 2 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
A patient has an order for acetaminophen 200mg BID orally for a fever, upon
entering the room the nurse noticed the patient is complaining of nausea, what is
the priority?
Do not administer the medication orally, contact HCP for alternative routes, the nausea
is a contraindication for any oral administration
What are the steps for administering any medication?
Ensure no contraindications for administration, check order, check medication 3x,
administer per protocol
A patient is lying in a supine position, the nurse enters the room to administer an
oral medication, the nurse gives him the pill and a drink of water. What is wrong
in this scenario?
Supine position, patient should always be upright at 90 degrees (high fowlers) when
taking anything orally
Enteral medications
Any medication that goes through the GI tract, oral medications, NG tubes, PEG tubes,
rectal suppositories
An over the counter nicoderm patch is used for nicotine dependency, how should
this be properly placed on a patient?
,Place in a dry clean area with no hair, rotate sites of patch to prevent irritation when
replacing the patch, always be sure to take the original patch off before placing a new
one
A patient has an order for a steroid inhaler, why is it important that they rinse
their mouth after each administration?
Prevention of thrush (erosion of inner cheek, like a giant canker sore)
When educating a patient on safe use of an inhaler at home, what should be
included?
Be sure to rinse your mouth after use, wait 20-30 seconds between puffs, wait 2-5
minutes before taking any other medications, use a spacer if possible
What is the point of a spacer?
To prevent thrush, commonly seen in pediatric practice for better inhalation technique
What is the priority for a patient taking a sublingual or buccal medication?
Do not swallow the medication, allow it to completely dissolve
A medication is ordered to be placed between the cheek and gum, this is an
example of what?
Buccal medication
A medication is ordered to be placed under the tongue, what is this an example
of?
Sublingual
Suppository types
Vaginal, rectal
Rectal suppository precautions
, Patient laying in lateral or sims position, leave in for 5 minutes, be sure to lubricate
Vaginal suppository precautions
Patient laying in supine position with knees bent, insert along the vaginal wall about 3-4
inches, stay supine for 5 minutes
What is the priority when administering eye drops?
Do not touch dropper to the eye, hold 1-2 centimeters above
Eye drop administration steps
Have patient tilt head slightly back, pull the lower lid down to expose the conjunctiva,
hold dropper 1-2 cm from eye, close eye after and hold the nasolacrimal duct for 30-60
seconds
Why is it important to hold the nasolacrimal duct after administering eye drops?
Prevents the drops from being absorbed too quickly and pushed out of the eye through
the duct
Ear drops priority
Warm solution before administration to prevent vertigo
A pediatric patient has an order for ear drops regarding an ear infection, how
should this be administered?
Pull the ear down and back
A 78 year old patient has an order for ear drops regarding an ear infection, how
should these be administered?
Pull the ear up and out
Nose spray priority intervention
COMPLETE SOLUTIONS VERIFIED
A patient has an order for acetaminophen 200mg BID orally for a fever, upon
entering the room the nurse noticed the patient is complaining of nausea, what is
the priority?
Do not administer the medication orally, contact HCP for alternative routes, the nausea
is a contraindication for any oral administration
What are the steps for administering any medication?
Ensure no contraindications for administration, check order, check medication 3x,
administer per protocol
A patient is lying in a supine position, the nurse enters the room to administer an
oral medication, the nurse gives him the pill and a drink of water. What is wrong
in this scenario?
Supine position, patient should always be upright at 90 degrees (high fowlers) when
taking anything orally
Enteral medications
Any medication that goes through the GI tract, oral medications, NG tubes, PEG tubes,
rectal suppositories
An over the counter nicoderm patch is used for nicotine dependency, how should
this be properly placed on a patient?
,Place in a dry clean area with no hair, rotate sites of patch to prevent irritation when
replacing the patch, always be sure to take the original patch off before placing a new
one
A patient has an order for a steroid inhaler, why is it important that they rinse
their mouth after each administration?
Prevention of thrush (erosion of inner cheek, like a giant canker sore)
When educating a patient on safe use of an inhaler at home, what should be
included?
Be sure to rinse your mouth after use, wait 20-30 seconds between puffs, wait 2-5
minutes before taking any other medications, use a spacer if possible
What is the point of a spacer?
To prevent thrush, commonly seen in pediatric practice for better inhalation technique
What is the priority for a patient taking a sublingual or buccal medication?
Do not swallow the medication, allow it to completely dissolve
A medication is ordered to be placed between the cheek and gum, this is an
example of what?
Buccal medication
A medication is ordered to be placed under the tongue, what is this an example
of?
Sublingual
Suppository types
Vaginal, rectal
Rectal suppository precautions
, Patient laying in lateral or sims position, leave in for 5 minutes, be sure to lubricate
Vaginal suppository precautions
Patient laying in supine position with knees bent, insert along the vaginal wall about 3-4
inches, stay supine for 5 minutes
What is the priority when administering eye drops?
Do not touch dropper to the eye, hold 1-2 centimeters above
Eye drop administration steps
Have patient tilt head slightly back, pull the lower lid down to expose the conjunctiva,
hold dropper 1-2 cm from eye, close eye after and hold the nasolacrimal duct for 30-60
seconds
Why is it important to hold the nasolacrimal duct after administering eye drops?
Prevents the drops from being absorbed too quickly and pushed out of the eye through
the duct
Ear drops priority
Warm solution before administration to prevent vertigo
A pediatric patient has an order for ear drops regarding an ear infection, how
should this be administered?
Pull the ear down and back
A 78 year old patient has an order for ear drops regarding an ear infection, how
should these be administered?
Pull the ear up and out
Nose spray priority intervention
