Nur 155 Exam 4 (Galen) Questions and
Complete Rationales Graded A+
drug - Answer: any substance that positively or negatively alters physiologic function
medication - Answer: drug specifically administered for its therapeutic effect on psychological function
6 rights of medication administration - Answer: patient, time, dose, route, medication, documentation
Routes of medication administration - Answer: -Oral administration
-Swallowed
-Sublingual
-Buccal
-Nasogastric
-gastric
-intestinal
-jejunal tubes
oral medications (PO) precautions - Answer: always test the patients ability to swallow, level of
consciousness, and if they are experiencing nausea and vomiting
medication route: swallowing - Answer: safest, most convenient, and least expensive (liquid or pill)
medication route: sublingual - Answer: allows rapid absorption, placed under the tongue to dissolve
medication route: buccal - Answer: allows rapid absorption, placed against the mucous membrane of
the inner cheek until dissolved completely
, medication route: NG Tube - Answer: check tube placement before med administration, crush med and
mix with water, flush before and after, if NG tube is hooked to suction, stop suction, give med, don't
start for 30 mins
topical medications - Answer: lotions, creams, powders, and aerosol sprays
topical medication administration - Answer: cleanse the skin before applying med, use gloves when
applying to avoid absorption through your skin
transdermal medications - Answer: designed to be absorbed through the skin (usually a patch)
transdermal medications administration - Answer: cleanse before placing, remove old patch, place in
new spot from before
inhaled medication - Answer: inhaler and nebulizer
Inhaled medication administration - Answer: very rapid, administered through the respiratory tract
nasal medications - Answer: nose drops, spray
Nose drop administration - Answer: have pt blow nose and tilt head back (or to affected side), don't
touch tip of applicator, have pt leave head back for 5 mins
nose spray administration - Answer: have patient tilt head down, looking at their feet with spray tip
aimed in the direction of the eye
otic medications (ear) - Answer: should be room temp, if taking out the fridge, gently roll in hands
Otic medication administration - Answer: pull ear up and outward for adults, down and back for children
if pt has a tympanic membrane that has been damaged, you want to be very careful, ensure ear drops
are room temp, use sterile technique -have the pt lie with the ear to be treated in the uppermost
position, wait 5 mins before administering in another ear (if needed)
Complete Rationales Graded A+
drug - Answer: any substance that positively or negatively alters physiologic function
medication - Answer: drug specifically administered for its therapeutic effect on psychological function
6 rights of medication administration - Answer: patient, time, dose, route, medication, documentation
Routes of medication administration - Answer: -Oral administration
-Swallowed
-Sublingual
-Buccal
-Nasogastric
-gastric
-intestinal
-jejunal tubes
oral medications (PO) precautions - Answer: always test the patients ability to swallow, level of
consciousness, and if they are experiencing nausea and vomiting
medication route: swallowing - Answer: safest, most convenient, and least expensive (liquid or pill)
medication route: sublingual - Answer: allows rapid absorption, placed under the tongue to dissolve
medication route: buccal - Answer: allows rapid absorption, placed against the mucous membrane of
the inner cheek until dissolved completely
, medication route: NG Tube - Answer: check tube placement before med administration, crush med and
mix with water, flush before and after, if NG tube is hooked to suction, stop suction, give med, don't
start for 30 mins
topical medications - Answer: lotions, creams, powders, and aerosol sprays
topical medication administration - Answer: cleanse the skin before applying med, use gloves when
applying to avoid absorption through your skin
transdermal medications - Answer: designed to be absorbed through the skin (usually a patch)
transdermal medications administration - Answer: cleanse before placing, remove old patch, place in
new spot from before
inhaled medication - Answer: inhaler and nebulizer
Inhaled medication administration - Answer: very rapid, administered through the respiratory tract
nasal medications - Answer: nose drops, spray
Nose drop administration - Answer: have pt blow nose and tilt head back (or to affected side), don't
touch tip of applicator, have pt leave head back for 5 mins
nose spray administration - Answer: have patient tilt head down, looking at their feet with spray tip
aimed in the direction of the eye
otic medications (ear) - Answer: should be room temp, if taking out the fridge, gently roll in hands
Otic medication administration - Answer: pull ear up and outward for adults, down and back for children
if pt has a tympanic membrane that has been damaged, you want to be very careful, ensure ear drops
are room temp, use sterile technique -have the pt lie with the ear to be treated in the uppermost
position, wait 5 mins before administering in another ear (if needed)
