NURS206 Administering Oral and
Topical Medications Exam Questions
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Technique for administering aerosol sprays - ANSWER ✓ Shake container, hold
spray at proper distance (typically 15-30cm), spray on affected site
Technique for applying suspension-based lotion - ANSWER ✓ Shake vigorously,
apply lotion to small gauze dressing or pad by stroking evenly. Explain it'll feel
cool and dry
Technique for applying powder - ANSWER ✓ Dry skin, spread skinfolds, dust
site lightly
Changes in skin of an older person include.... - ANSWER ✓ Increased fragility,
wrinkling, dryness, flaking, and tendency to bruise
Evalutation after topical application - ANSWER ✓ Inspection of skin, patient
keeps diary of doses, observe patient or caregiver apply topical meds, use teach-
back
Unexpected outcomes of topical meds - ANSWER ✓ Skin site appears inflamed
and edematous with blistering and oozing of fluid from lesions. Patient is unable to
explain information about medication or doesn't administer as prescribed. Patient
continues to complain of tenderness and or pruritus
Why is the conjuntival sac used for medication administration over the cornea? -
ANSWER ✓ It is much less sensitive
Correctly prepare and administer ophthalmic instillations (Assessment) -
ANSWER ✓ MAR, check name dosage route and rime. Review action, purpose,
normal dose and route, adverse effects, time of onset, and peak action, and nursing
, imlplications. Assess condition of external eye. Determine symptoms of eye
discomfort/visual impariment. Assess allergies. Assess LOC. Assess knowledge of
medication therapy. Assess ability to manipulate and hold dropper/ocular disc
Correctly prepare and administer ophthalmic instillations (Implementation) -
ANSWER ✓ Check label of meds against MAR two times. In form of drops or
ointments. Hygiene, Two checks, expiration date, rewarm drops to room temp.
Check again at bedside. Patient lies supine. Two person specific identifiers.
ALLERGIES? Explain procedure. Instill eye medications. Remove crusts, instill
eye drops 1-2cm above conjunctival sac. (REPEAT if patient blinks). Close eye
When wiping the eye, always wipe from... - ANSWER ✓ Inner to outer canthus
Instill ophthalmic ointment - ANSWER ✓ Hold applicator above lower lid
margin, apply thin ribbon of ointment along inner edge of lower eyelid on
conjunctiva from inner to outer canthus. Close eye and rub, eye patch if needed
Insert intraocular disk - ANSWER ✓ Place in conjunctival sac. Removing disk by
pinching patient's eye
Adverse effects of intraocular adiminstration - ANSWER ✓ Burning or pain
(Headache, bloodshot eyes, local eye irritation). Systemic effects from drops
(INcressed HR, BP or decreased). Patient unable to explain med info
Mydriatics... - ANSWER ✓ Used to dilate pupils. Temporarily blur vision
Correctly administer ear medications - ANSWER ✓ Usually in drop form.
Administer at room temp as cold drops can cause vertigo. Check expiration date.
Hand hygeine. Two person identifier. Compare with MAR. ALLERGIES? Position
patient on side, pull pinna up and back to 10 o clock position in adult. Under 3 yrs
- Down and back to 6 to 9 oclock position. Drop 1 cm from ear Remain in side-
lying for few minutes
Correctly administer nasal instillations - ANSWER ✓ Gently roll or shake
container. Clear nose gently. Administer nose drops (tilt head for posterior
pharynx. Ethmoid/sphenoid: Tilt head over edge. Frontal/maxillary: Tilt head over
edge/to side). dropper held 1 cm above nares. remain supine for 5mins. Observe
for 15-30 minutes after administration
Topical Medications Exam Questions
with Correct Solutions||A+
GRADED||100% Guaranteed
Pass<<Latest Version>>
Technique for administering aerosol sprays - ANSWER ✓ Shake container, hold
spray at proper distance (typically 15-30cm), spray on affected site
Technique for applying suspension-based lotion - ANSWER ✓ Shake vigorously,
apply lotion to small gauze dressing or pad by stroking evenly. Explain it'll feel
cool and dry
Technique for applying powder - ANSWER ✓ Dry skin, spread skinfolds, dust
site lightly
Changes in skin of an older person include.... - ANSWER ✓ Increased fragility,
wrinkling, dryness, flaking, and tendency to bruise
Evalutation after topical application - ANSWER ✓ Inspection of skin, patient
keeps diary of doses, observe patient or caregiver apply topical meds, use teach-
back
Unexpected outcomes of topical meds - ANSWER ✓ Skin site appears inflamed
and edematous with blistering and oozing of fluid from lesions. Patient is unable to
explain information about medication or doesn't administer as prescribed. Patient
continues to complain of tenderness and or pruritus
Why is the conjuntival sac used for medication administration over the cornea? -
ANSWER ✓ It is much less sensitive
Correctly prepare and administer ophthalmic instillations (Assessment) -
ANSWER ✓ MAR, check name dosage route and rime. Review action, purpose,
normal dose and route, adverse effects, time of onset, and peak action, and nursing
, imlplications. Assess condition of external eye. Determine symptoms of eye
discomfort/visual impariment. Assess allergies. Assess LOC. Assess knowledge of
medication therapy. Assess ability to manipulate and hold dropper/ocular disc
Correctly prepare and administer ophthalmic instillations (Implementation) -
ANSWER ✓ Check label of meds against MAR two times. In form of drops or
ointments. Hygiene, Two checks, expiration date, rewarm drops to room temp.
Check again at bedside. Patient lies supine. Two person specific identifiers.
ALLERGIES? Explain procedure. Instill eye medications. Remove crusts, instill
eye drops 1-2cm above conjunctival sac. (REPEAT if patient blinks). Close eye
When wiping the eye, always wipe from... - ANSWER ✓ Inner to outer canthus
Instill ophthalmic ointment - ANSWER ✓ Hold applicator above lower lid
margin, apply thin ribbon of ointment along inner edge of lower eyelid on
conjunctiva from inner to outer canthus. Close eye and rub, eye patch if needed
Insert intraocular disk - ANSWER ✓ Place in conjunctival sac. Removing disk by
pinching patient's eye
Adverse effects of intraocular adiminstration - ANSWER ✓ Burning or pain
(Headache, bloodshot eyes, local eye irritation). Systemic effects from drops
(INcressed HR, BP or decreased). Patient unable to explain med info
Mydriatics... - ANSWER ✓ Used to dilate pupils. Temporarily blur vision
Correctly administer ear medications - ANSWER ✓ Usually in drop form.
Administer at room temp as cold drops can cause vertigo. Check expiration date.
Hand hygeine. Two person identifier. Compare with MAR. ALLERGIES? Position
patient on side, pull pinna up and back to 10 o clock position in adult. Under 3 yrs
- Down and back to 6 to 9 oclock position. Drop 1 cm from ear Remain in side-
lying for few minutes
Correctly administer nasal instillations - ANSWER ✓ Gently roll or shake
container. Clear nose gently. Administer nose drops (tilt head for posterior
pharynx. Ethmoid/sphenoid: Tilt head over edge. Frontal/maxillary: Tilt head over
edge/to side). dropper held 1 cm above nares. remain supine for 5mins. Observe
for 15-30 minutes after administration
