Nokea
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.
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How can you prevent eye drops from being absorbed into the bloodstream and causing unwanted systemic effects?
- A. Press your gloved fingertips gently against the lacrimal ducts for a few seconds.
- B. Ensure that the medication is for otic use only.
- C. Instruct the patient to sit or lie very still for 5 to 10 minutes after administration.
- D. Press your gloved fingers at the outer canthus of each eye for 30 seconds.
Correct Answer: A
Rationale: Pressing the lacrimal ducts prevents medication from entering the nasolacrimal duct and being absorbed systemically.
Why is it necessary to flush a feeding tube with 30 to 60 mL of water before and 20 to 30 mL after administration of medications?
- A. To prevent interactions of medications with the formula in the tube
- B. To give the patient some much-needed fluid intake
- C. To prevent adherence of the drug to the tube
- D. To ensure fluid and electrolyte balance is maintained
- E. To prevent clogging of the tube
Correct Answer: A,C,E
Rationale: Flushing prevents medication interactions with formula (A), adherence to the tube (C), and clogging (E). Fluid intake (B) and electrolyte balance (D) are not primary reasons.
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.
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.