Nokea
Where should a buccal medication be placed?
- A. Under the tongue
- B. Against the cheek mucous membrane
- C. Inside the rectum
- D. At the back of the tongue
Correct Answer: B
Rationale: Buccal drugs are placed in the mouth against the mucous membranes of the cheek in either the upper or lower jaw. Sublingual medications are placed under the tongue. Rectal suppositories are inserted into the rectum. Oral medications are placed at the back of the tongue.
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What action is most important to minimize tissue damage when administering subcutaneous heparin?
- A. Insert the needle at the appropriate angle
- B. Select the needle length based on the patient's weight
- C. Ensure that there is no hair on the injection site
- D. Rotate the injection site regularly
Correct Answer: D
Rationale: The nurse should rotate the injection sites to minimize the damage caused to the tissue. Inserting the needle at the proper angle and selecting the needle length based on the patient's weight will not significantly help in minimizing tissue damage if the same site is repeatedly injected. It is not necessary to avoid injection sites that have hair as long as the drug is administered in the upper arms, the upper abdomen, and the upper back.
When ensuring the right drug is being administered, what should the nurse compare? Select all that apply.
- A. Medication
- B. Container label
- C. Medication record
- D. MAR
- E. Nursing notes
Correct Answer: A,B,C,D
Rationale: The nurse compares the medication, container label, and medication record and then the MAR as the item is removed from the cart and before the actual administration of the drug.
What information about the drug is most important for the nurse to know before administration? Select all that apply.
- A. Normal dosage range
- B. Special precautions in administration
- C. Drug's most common adverse effects
- D. Drug's general action
- E. Reason for use of the drug
Correct Answer: A,B,C,D,E
Rationale: The nurse must have factual knowledge of each drug given, the reason for use of the drug, the drug's general action, the more common adverse reactions associated with the drug, special precautions in administration (if any), and the normal dose ranges.
What gauge needles are appropriate for intradermal injections? Select all that apply.
- A. 26 gauge
- B. 28 gauge
- C. 29 gauge
- D. 25 gauge
- E. 27 gauge
Correct Answer: A,D,E
Rationale: A 1-mL syringe with a 25- to 27-gauge needle that is 1/4 to 5/8 inches long is best suited for intradermal injections.
What action is most appropriate when administering a transdermal drug?
- A. Apply next dose to a new site
- B. Check the infusion rate
- C. Inject only the inner part of the forearm
- D. Give small volumes of doses
Correct Answer: A
Rationale: An important nursing intervention when administrating drugs through the transdermal route is to apply the next dose to a new site. It is important to check the infusion rate every 15 to 30 minutes in patients using infusion controllers or infusion pumps. When using the intradermal route, the inner part of the forearm should be used as the injection site and small volumes of doses should be administered.