FSCJ NUR1023C EXAM 2 QUESTIONS AND CORRECT ANSWERS| (VERIFIED)

FSCJ NUR1023C EXAM 2 QUESTIONS AND CORRECT ANSWERS| (VERIFIED) Nonopioids - used for mild to moderate acute & chronic pain; drugs with a long half-life are preferred for chronic pain such as osteoarthritis (OA) Nonopioids block what? - block the peripheral formation of pain sensation by blocking Cox-2 or prostaglandins; w/o prostaglandins no pain sensation is created Nursing Implications for oral medications - -tablet, capsule, or liquid. -some taken with food -some on empty stomach based on drug -Administer irritating medications with food to avoid discomfort unless contraindicated. -If the patient is vomiting, withhold oral medications. -Even if the patient is NPO some medications can still be taken. -Scored tablets can be broken, do not break time release or capsulated medications. -If the patient has difficulty swallowing try liquids, shake liquid before administering. -Lozenge, medicated to slowly release medication. Nursing Implications for Buccal and Sublingual medications - -tablet -avoid chewing -water is not needed -ensure proper placement and that patient waits to eat or drink (30m) -alternate sides to avoid irritation. Nursing Implications for Topical medications - -ointment, cream, powder, or lotion. -pay attention to where ointment is being applied, how to prepare skin, and to cover or uncover. -certain areas absorb quicker than others -monitor for reactions -always use gloves to avoid exposure to drug. Nursing Implications for Transdermal medications - -most common is patch, disk, or pad, -the patient should only use prescribed dose at a time, -do not leave old patches on, -be aware that handling the patch can also transfer drug. -Avoid placing over hair. -If the patch comes loose after bathing, apply new patch. Nursing Implications for Ophthalmic medications - -administration of a drug to the eyes, most typically as an eye drop formulation -Ask the patient to lie flat or with their head tilted back. -Administer a drop of the medication onto the closed eyelid in the nasal corner. -Ask the patient to open the eye and close it gently once the drug has entered it. Nursing Implications for Otic medications - -Liquid drops administered in the outer ear -Place the correct number of drops into the ear canal so they will roll into the ear along the side of the ear canal. -Don't drop directly into the ear because it can be painful and cause the pt to experience nausea or dizziness. -used to treat local infections/inflammation and there is minimum systemic absorption -Know if to pull the ear up/back for an adult; pull down and back for kids Nursing Implications for Nasal medications - -administration of medicine into the nasal passage -Medicine can be a spray, lubricants, drops, topicals, or powders (i.e. Baqsami is a glucagon nasal powder used to treat hypoglycemia) -Meds are absorbed through the nasal mucosa to exert local or systemic therapeutic and preventive effects Nursing Implications for Inhaled medications - -Administered via inhaler -Encourage pt to sit upright to maximize lung expansion and medication absorption -Rinse mouth after to reduce risk of oral candida -Ensure proper use of the inhaler device being used Nursing Implications for Rectal medications - -May be in the form of a cream, suppository or enema/liquid suspension -Provide privacy to the pt -If possible, try to have the pt defecate prior to medication administration -Use a water-soluble lubricant to reduce discomfort Nursing Implications for Vaginal medications - -May come in the form of creams, gels, suppositories, tablets or vaginal rings -Provide the pt with privacy -If possible, try and get the pt to void prior to medication administration -Use a water-soluble lubricant to reduce discomfort intradermal injection - Location: inner aspect of the forearm Needle length: ¼ in- ½ in. Gauge: 25-27