Nokea
Rectal suppositories are contraindicated in patients with
- A. High potassium levels.
- B. Swollen, inflamed hemorrhoids.
- C. Constipation.
- D. A recent heart attack.
Correct Answer: B
Rationale: Swollen, inflamed hemorrhoids contraindicate rectal suppositories due to pain and potential bleeding. Other conditions are not contraindications.
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A patient is taking an albuterol inhaler as a bronchodilator and a steroid inhaler. You would know more teaching was needed when the patient states
- A. I will wait 5 minutes between using the inhalers.
- B. I will hold the inhalers 1 to 2 inches away from my mouth to use them.
- C. I will use the steroid inhaler first and then the albuterol inhaler.
- D. I will wait 1 full minute between each puff from the inhaler.
Correct Answer: C
Rationale: The bronchodilator (albuterol) should be used first to open airways, followed by the steroid. Other statements are correct.
Which is not a form of oral medications?
- A. Tablets
- B. Creams
- C. Capsules
- D. Liquids
Correct Answer: B
Rationale: Creams are topical medications applied to the skin or mucous membranes, not taken orally. Tablets, capsules, and liquids are all forms of oral medications.
Which medication would be administered via the nasal route?
- A. Guaifenesin (Mucinex)
- B. Nicotine (Nicotrol)
- C. Timolol (Timoptic)
- D. Calcitonin (Miacalcin)
- E. Steroids (Rhinocort)
Correct Answer: B,D,E
Rationale: Nicotine (Nicotrol), calcitonin (Miacalcin), and steroids (Rhinocort) are nasal medications. Guaifenesin is oral, and timolol is ophthalmic.
If an enteric-coated tablet was crushed and administered through a PEG tube, what would be the result?
- A. The patient would get too much medication at one time, causing an overdose.
- B. The patient would not get the desired effect from the medication because of contact with stomach acid.
- C. The patient would experience gastric irritation because the tablets are not designed to dissolve until they reach the intestines.
- D. The patient would still get the desired effects from the medication with no increase in ill effects.
Correct Answer: B,C
Rationale: Enteric-coated tablets are designed to dissolve in the intestines, not the stomach. Crushing them exposes the medication to stomach acid, which may inactivate it (B) and cause gastric irritation (C).
You are preparing to administer a liquid suspension. What must you do first?
- A. Shake the bottle well to mix the medication with the liquid.
- B. Measure the medication and have it checked by another licensed person.
- C. Rotate the bottle carefully between the palms to mix it.
- D. Clean the lid of the bottle with an alcohol swab before opening it.
Correct Answer: A
Rationale: Liquid suspensions settle over time, so shaking the bottle well ensures the medication is evenly distributed before measuring.