NUR211 Exam Oral and Topical MEDICATION EXAM 50+ QUESTIONS AND CORRECT ANSWERS 2023.

1. What should the nurse instruct her patient to do when she or he is administering a buccal medication? a. Hold the medication under the tongue. b. Swallow the medication after 30 seconds. c. Chew the medication before swallowing. d. Hold the medication against the cheek membranes.: ANS: D Buccal medication is placed between the upper or lower molar teeth and the cheek area and is allowed to dissolve. The sublingual route is used to administer medication under the tongue. Medication is dissolved rather than swallowed using the buccal route. DIF: Cognitive Level: Application REF: Text Reference: Page 529 OBJ: Correctly administer a medication by oral, nasogastric or other enteral tube, skin (topical), ophthalmic, otic, nasal, inhaled, vaginal, and rectal routes. TOP: Buccal Medication KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 2. Which of the following is the most critical to assess before medication administration? a. Diet history b. Allergy history c. Surgical history d. Drug tolerance: ANS: B Drug allergies should be listed on each page of the MAR, prominently displayed on the patient's medical record, and the patient should be wearing the facility's allergy bracelet. Assessment for drug allergies is necessary before medication is administered. A client's diet, surgical, and drug histories are important areas to assess, but they are not as critical as his or her allergy history, which can be life-threatening. DIF: Cognitive Level: Application REF: Text Reference: Page 531 OBJ: Describe factors to assess before administering medications. TOP: Allergy History KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 3. The patient has returned from a gastroscopy procedure. He has been NPO since midnight last night and has not received his morning medications.