C HAPTER 34: A DMINISTERING O RAL ,
T OPICAL , AND I NHALANT M EDICATIONS
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. A patient of the Cambodian culture reports that a new medication is not
adequate for treatment because it is:
a. colored red .
b. a smaller size than the older medication.
c. offered before a meal.
d. is in liquid form.
ANS: B
Persons of Cambodian origin believe the size of the medication
indicates its curative value. A small pill does not have as much
curative value as a larger one.
DIF: Cognitive Level: Comprehension REF: p. 654
OBJ: Theory #1 TOP: Medication Administration:
Cultural Concerns KEY: Nursing Process Step:
Assessment MSC: NC LEX: Physiological Integrit y:
Pharmacological Therapies
,2. For easier insertion of a rectal suppository, the nurse should position the
patient in the ________ position.
a. knee chest
b. prone
c. left Sims’
d. dorsal lithotom y
ANS: C
Placing the patient in the left Sims’ position provides for easier
insertion of the suppository into the rectum.
DIF: Cognitive Level: Comprehension REF: p. 664|Step 34 -
2 OBJ: Clinical Practice #6 TOP: Medication
Administration: Rectal Route KEY: Nursing Process Step:
Planning MSC: NC LEX: Physiological Integrit y:
Pharmacological Therapies
3. A patient has an order for a ni trogl ycerin transdermal patch. The best way
to ensure proper administration of this medication is to:
a. appl y it behind the ear.
b. rotate sites to avoid skin irritation.
c. place it over a hairy skin area.
d. put the initials on patch when applied.
ANS: B
A nitrogl ycerin transdermal patch should be applied to an area with
good circulation, such as the chest, shoulders, or upper arm, and should
, be placed over hairless areas, with the date and the nurse’s initials
written on the patch. Rotating sites prevents irrita tion.
DIF: Cognitive Level: Application REF: p. 666|Skill 34 -3
OBJ: Clinical Practice #7 TOP: Medication
Administration: Transdermal Route KEY: Nursing Process
Step: Implementation MSC: NC LEX: Physiological
Integrit y: Pharmacological Therapies
4. The nurse administering nitrogl ycerin ointment to a patient will:
a. appl y with gloves or tongue blade.
b. appl y in same area as the old patch.
c. place the paste on the chest and massage it in the skin.
d. inform the patient that the medicinal effect will take about 45
minutes.
ANS: A
The nurse should wear gloves to avoid exposure to nitrogl ycerin. The
area of the old patch should be cleaned and the new patch placed in
another area and not massaged in. The effect of the patch occurs in
about 30 minutes.
DIF: Cognitiv e Level: Application REF: p. 665|Skill 34 -3
OBJ: Clinical Practice #2 TOP: Medication
Administration: Topical Route KEY: Nursing Process
Step: Planning MSC: NC LEX: Physiological Integrit y:
Pharmacological Therapies
T OPICAL , AND I NHALANT M EDICATIONS
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. A patient of the Cambodian culture reports that a new medication is not
adequate for treatment because it is:
a. colored red .
b. a smaller size than the older medication.
c. offered before a meal.
d. is in liquid form.
ANS: B
Persons of Cambodian origin believe the size of the medication
indicates its curative value. A small pill does not have as much
curative value as a larger one.
DIF: Cognitive Level: Comprehension REF: p. 654
OBJ: Theory #1 TOP: Medication Administration:
Cultural Concerns KEY: Nursing Process Step:
Assessment MSC: NC LEX: Physiological Integrit y:
Pharmacological Therapies
,2. For easier insertion of a rectal suppository, the nurse should position the
patient in the ________ position.
a. knee chest
b. prone
c. left Sims’
d. dorsal lithotom y
ANS: C
Placing the patient in the left Sims’ position provides for easier
insertion of the suppository into the rectum.
DIF: Cognitive Level: Comprehension REF: p. 664|Step 34 -
2 OBJ: Clinical Practice #6 TOP: Medication
Administration: Rectal Route KEY: Nursing Process Step:
Planning MSC: NC LEX: Physiological Integrit y:
Pharmacological Therapies
3. A patient has an order for a ni trogl ycerin transdermal patch. The best way
to ensure proper administration of this medication is to:
a. appl y it behind the ear.
b. rotate sites to avoid skin irritation.
c. place it over a hairy skin area.
d. put the initials on patch when applied.
ANS: B
A nitrogl ycerin transdermal patch should be applied to an area with
good circulation, such as the chest, shoulders, or upper arm, and should
, be placed over hairless areas, with the date and the nurse’s initials
written on the patch. Rotating sites prevents irrita tion.
DIF: Cognitive Level: Application REF: p. 666|Skill 34 -3
OBJ: Clinical Practice #7 TOP: Medication
Administration: Transdermal Route KEY: Nursing Process
Step: Implementation MSC: NC LEX: Physiological
Integrit y: Pharmacological Therapies
4. The nurse administering nitrogl ycerin ointment to a patient will:
a. appl y with gloves or tongue blade.
b. appl y in same area as the old patch.
c. place the paste on the chest and massage it in the skin.
d. inform the patient that the medicinal effect will take about 45
minutes.
ANS: A
The nurse should wear gloves to avoid exposure to nitrogl ycerin. The
area of the old patch should be cleaned and the new patch placed in
another area and not massaged in. The effect of the patch occurs in
about 30 minutes.
DIF: Cognitiv e Level: Application REF: p. 665|Skill 34 -3
OBJ: Clinical Practice #2 TOP: Medication
Administration: Topical Route KEY: Nursing Process
Step: Planning MSC: NC LEX: Physiological Integrit y:
Pharmacological Therapies
