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To administer an eye drop, you will place the drop in the
- A. Inner canthus of the eye.
- B. Outer canthus of the eye.
- C. Middle part of the lower conjunctival sac.
- D. Middle of the eye, directly onto the pupil.
Correct Answer: C
Rationale: Placing eye drops in the lower conjunctival sac ensures proper absorption and minimizes discomfort or corneal damage.
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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.
Which are included in the oral route of administration?
- A. Swallowing
- B. Sublingual
- C. Inhaling
- D. Buccal
- E. Nasal
Correct Answer: A,B,D
Rationale: The oral route of administration includes methods where medications are taken by mouth, such as swallowing (A), placing under the tongue (sublingual, B), and placing against the cheek (buccal, D). Inhaling (C) and nasal (E) are not oral routes.
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.
When you are administering medications to elderly patients, which assessments will you make?
- A. Take a full set of vital signs before administering any medications.
- B. Monitor for increased neurological side effects, toxicity symptoms, and undesired effects frequently.
- C. Assess lung sounds and bowel sounds before administering any medications.
- D. Assess liver and kidney function tests for toxic effects of medications.
- E. Monitor for possible interactions of prescribed and over-the-counter medicines and supplements.
Correct Answer: B,D,E
Rationale: Elderly patients are prone to side effects and toxicity (B), require monitoring of liver/kidney function (D), and are at risk for drug interactions (E). Vital signs (A) and lung/bowel sounds (C) are not universally required.
How can you be certain that the medication dose for an infant or child is correct before you administer it?
- A. Call the pharmacist each time you administer a medication to confirm the dose.
- B. Double-check the amount of an appropriate pediatric dosage.
- C. Use an oral syringe because it offers more accurate dosing.
- D. Give the child a frozen juice bar before you administer medications.
- E. Have another nurse check the medication dose with you.
Correct Answer: B,C,E
Rationale: Double-checking the dose (B), using an oral syringe for accuracy (C), and having another nurse verify (E) ensure safety. Calling the pharmacist each time (A) is impractical, and juice bars (D) are irrelevant.