Nokea
A patient has been prescribed an MDI for the management of her asthma. Which of the following instructions should be given to the patient?
- A. Shake the inhaler before use
- B. Breathe slowly and fully before administration
- C. Administer by pressing the canister downward
- D. Hold your breath as long as possible
Correct Answer: A,B,C,D
Rationale: Proper MDI use involves shaking the inhaler, breathing slowly and fully, pressing the canister to administer, and holding the breath to allow medication absorption.
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Your patient has been prescribed timolol maleate (Timoptic) eyedrops. Where should you instill the eyedrops?
- A. The cornea
- B. The pupil
- C. The eyelid
- D. The lower conjunctival sac
Correct Answer: D
Rationale: Eyedrops like timolol maleate are instilled in the lower conjunctival sac to avoid corneal damage and ensure proper absorption.
Which of the following drug administration routes is through the epidermal layer of skin into the dermis?
- A. Oral
- B. Topical
- C. Inhalation
- D. Intravenous
Correct Answer: B
Rationale: Topical administration involves applying medication to the skin, affecting the epidermal and dermal layers.
Which of the following techniques is(are) correct when inserting a rectal suppository?
- A. Position the patient on his or her right side with the left leg flexed.
- B. During insertion, tell the patient to hold his or her breath.
- C. Lubricate the tip of the suppository.
- D. Gently insert the suppository, directing it with the index finger.
Correct Answer: C,D
Rationale: Lubricating the suppository and gently inserting it with the index finger are correct techniques. The patient is typically positioned on the left side, not the right, and breath-holding is not required.
Which of the following drug administration routes is the safest and most convenient?
- A. Oral
- B. Topical
- C. Vaginal
- D. Nasal
Correct Answer: A
Rationale: Oral administration is generally the safest and most convenient due to ease of use and lower risk of complications compared to other routes.
What steps should the nurse follow when administering a liquid cough syrup to a patient?
- A. Hold the medicine glass at eye level and pour the prescribed dose
- B. The measurement line should be even with the fluid level at the base of the meniscus
- C. Discard any excess
- D. Dilute all liquids with water
Correct Answer: A,B,C
Rationale: Accurate measurement involves holding the glass at eye level, aligning the meniscus with the measurement line, and discarding excess. Diluting all liquids is not standard practice.