C HAPTER 09: P HOTO A TLAS OF D RUG
A DMINISTRATION
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse is about to give a rectal suppository to a patient. Which
technique would facilitate the administration and absorption of the rectal
suppository?
a. Having the patient lie on the right side, unless contraindicated
b. Having the patient hold his or her breath during insertion of t he
medication
c. Lubricating the suppository with a small amount of petroleum -based
lubricant before insertion
d. Encouraging the patient to lie on the left side for 15 to 20 minutes
after insertion
ANS: D
Position the patient on the left side for rectal suppos itory insertion.
The suppository is then lubricated with a small amount of water -
soluble lubricant, not petroleum -based substances. The patient is told
to take a deep breath and exhale through the mouth during insertion.
Then, the patient needs to remain l ying on the left side for 15 to 20
minutes to allow absorption of the drug.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
, MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. A patient is receiving eyedrops that contain a beta -blocker medication.
The nurse will use what method to reduce systemic effects after
administering the eyedrops?
a. Wiping off excess liquid immediatel y after instilling the drops
b. Having the patient close the eye tightl y afte r the drops are instilled
c. Having the patient try to keep the eye open for 30 seconds after the
drops are instilled
d. Appl ying gentle pressure to the patient ’s nasolacrimal duct for 30 to
60 seconds after instilling the drops
ANS: D
When administering ophtha lmic drugs that may cause systemic effects,
one’s finger should be protected by a clean tissue or glove and gentle
pressure applied to the patient ’s nasolacrimal duct for 30 to 60
seconds. The other actions are not appropriate.
DIF: Cognitive Level: Appl yi ng (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A 2-year-old child is to receive eardrops. The nurse is teaching the parent
about giving the eardrops. Which statement refl ects the proper technique
for administering eardrops to this child?
a. Administer the drops without pulling on the ear lobe.
b. Straighten the ear canal by pulling the lobe upward and back.
c. Straighten the ear canal by pulling the pinna down and back.
d. Straighten the ear canal by pulling the pinna upward and outward.
, ANS: C
In an infant or a child younger than 3 years of age, the ear canal is
straightened by pulling the pinna down and back. In adults, the pinna is
pulled up and outward. Pulling the lobe and admini stering eardrops
without pulling on the ear lobe are not appropriate actions.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
4. A patient with asthma is to begin medication therapy using a metered -dose
inhaler. What is an important reminder to include during teaching sessions
with the patient?
a. Repeat subsequent puffs, if ordered, after 5 minutes.
b. Inhale slowl y while pressing down to release the medication.
c. Inhale quickl y while pressing down to release the medication.
d. Administer the inhaler while holding it 3 to 4 inches away from the
mouth.
ANS: B
Position the inhaler to an open mouth, with the inhaler 1 to 2 inches
away from the mouth, or a ttach a spacer to the mouthpiece of the
inhaler, or place the mouthpiece in the mouth. To administer, press
down on the inhaler to release the medication while inhaling slowl y.
Wait 1 to 2 minutes between puffs if a second puff of the same
medication has b een ordered.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
A DMINISTRATION
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse is about to give a rectal suppository to a patient. Which
technique would facilitate the administration and absorption of the rectal
suppository?
a. Having the patient lie on the right side, unless contraindicated
b. Having the patient hold his or her breath during insertion of t he
medication
c. Lubricating the suppository with a small amount of petroleum -based
lubricant before insertion
d. Encouraging the patient to lie on the left side for 15 to 20 minutes
after insertion
ANS: D
Position the patient on the left side for rectal suppos itory insertion.
The suppository is then lubricated with a small amount of water -
soluble lubricant, not petroleum -based substances. The patient is told
to take a deep breath and exhale through the mouth during insertion.
Then, the patient needs to remain l ying on the left side for 15 to 20
minutes to allow absorption of the drug.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
, MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. A patient is receiving eyedrops that contain a beta -blocker medication.
The nurse will use what method to reduce systemic effects after
administering the eyedrops?
a. Wiping off excess liquid immediatel y after instilling the drops
b. Having the patient close the eye tightl y afte r the drops are instilled
c. Having the patient try to keep the eye open for 30 seconds after the
drops are instilled
d. Appl ying gentle pressure to the patient ’s nasolacrimal duct for 30 to
60 seconds after instilling the drops
ANS: D
When administering ophtha lmic drugs that may cause systemic effects,
one’s finger should be protected by a clean tissue or glove and gentle
pressure applied to the patient ’s nasolacrimal duct for 30 to 60
seconds. The other actions are not appropriate.
DIF: Cognitive Level: Appl yi ng (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A 2-year-old child is to receive eardrops. The nurse is teaching the parent
about giving the eardrops. Which statement refl ects the proper technique
for administering eardrops to this child?
a. Administer the drops without pulling on the ear lobe.
b. Straighten the ear canal by pulling the lobe upward and back.
c. Straighten the ear canal by pulling the pinna down and back.
d. Straighten the ear canal by pulling the pinna upward and outward.
, ANS: C
In an infant or a child younger than 3 years of age, the ear canal is
straightened by pulling the pinna down and back. In adults, the pinna is
pulled up and outward. Pulling the lobe and admini stering eardrops
without pulling on the ear lobe are not appropriate actions.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
4. A patient with asthma is to begin medication therapy using a metered -dose
inhaler. What is an important reminder to include during teaching sessions
with the patient?
a. Repeat subsequent puffs, if ordered, after 5 minutes.
b. Inhale slowl y while pressing down to release the medication.
c. Inhale quickl y while pressing down to release the medication.
d. Administer the inhaler while holding it 3 to 4 inches away from the
mouth.
ANS: B
Position the inhaler to an open mouth, with the inhaler 1 to 2 inches
away from the mouth, or a ttach a spacer to the mouthpiece of the
inhaler, or place the mouthpiece in the mouth. To administer, press
down on the inhaler to release the medication while inhaling slowl y.
Wait 1 to 2 minutes between puffs if a second puff of the same
medication has b een ordered.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
