WEEK FIVE NSE211 EXAM
QUESTIONS AND ANSWERS
LATEST UPDATE
Nursing Process and Clinical Judgement (CJ) and Medication Administration - Answer-
• Assessment
• Diagnosis
• Planning
• Implementation
• Evaluation
• Recognize Cues
• Analyze Cues
• Prioritize Hypotheses
• Generate Solutions
• Take Action
• Evaluate outcomes
Assessment/Identify Cues
Aim of Drug therapy - Answer- • Replace a function (insulin)
• Enhance a function (bronchodilator - puffers)
• Impede a function (decrease HR or BP)
• Destroy tissue (chemo)
• Destroy infection or infestation (penicillin, or lice killer Rx)
Routes of Medication Administration - Answer- • Oral
- Sublingual - under tongue
- Buccal - in cheek
• Enteral - N/G, G tube
• Dermal
- Topical
- Transdermal
- Mucous membranes - eye, vagina, rectum
• Inhaled
• Injectable (SC, IM, ID) [will cover NEXT WEEK], IV week 7,8
Solid forms: - Answer- • capsule, tablet, enteric coated
Caplet - Answer- • - coated medication and shaped like a capsule
Liquid forms - Answer- syrups: liquid medication dissolved in a sugar solution
, Elixirs - Answer- clear liquid meds dissolved in an alcohol/water solution
Aerosol - Answer- • inhalation and nebulization- p. 901
Other form of med - Answer- • sustained release (SR) SR XR: sustained, extended
release- tablet or capsule that contains small particles of a medication coated with
material that requires time to dissolve
Extended release (XR)
Aqueous solution - Answer- • ; aqueous suspension; tincture
Patches: - Answer- • Ensure old medication is removed & documented when new dose
is administered, rotate sites of patches (do not use the same site for 1 week), avoid
hairy areas, date & sign
Enemas and suppository - Answer- • Enema is an instillation of a solution into the
rectum and sigmoid colon
• Purpose- to promote defecation by stimulating peristalsis. The volume of fluid
stretches the rectal wall and stimulates defection
• Indication- constipation, prior to bowel surgery/ interventions. O administer medication
• Type of dermal - Answer- • Suppositories, foams, creams & tablets
• Assess ability to self administer
• Use of gloves and applicator
• Client positioning, comfort, privacy, and hygiene
• Allow client to empty bladder prior to administration
• Allow client to lie quietly, in a supine position, for 10 minutes after administration
• Offer peri-pads, to protect clothing, if client is going to be getting up
Eye, ear, nose drops - Answer- • Wash hands
• Eye drops/ ointment, into conjunctival sac
• Press on lacrimal duct for 30-60 sec to decrease systemic absorption
- Ear drops
• Massage of preauricular areas help passage of ear drops
• Adults- pull auricle of ear up and out
- Child <3 years of age- pull auricle down and back- straightening of canal for children
and adults
- Positioning
• Pt to blow nose before nose sprays or drops
Vaginal instillation
Onset - Answer- the time it takes for the drug to elicit a therapeutic response
peak - Answer- time at which a medication reaches its highest effective concentration
Trough - Answer- minimum blood serum concentration before next scheduled dose
QUESTIONS AND ANSWERS
LATEST UPDATE
Nursing Process and Clinical Judgement (CJ) and Medication Administration - Answer-
• Assessment
• Diagnosis
• Planning
• Implementation
• Evaluation
• Recognize Cues
• Analyze Cues
• Prioritize Hypotheses
• Generate Solutions
• Take Action
• Evaluate outcomes
Assessment/Identify Cues
Aim of Drug therapy - Answer- • Replace a function (insulin)
• Enhance a function (bronchodilator - puffers)
• Impede a function (decrease HR or BP)
• Destroy tissue (chemo)
• Destroy infection or infestation (penicillin, or lice killer Rx)
Routes of Medication Administration - Answer- • Oral
- Sublingual - under tongue
- Buccal - in cheek
• Enteral - N/G, G tube
• Dermal
- Topical
- Transdermal
- Mucous membranes - eye, vagina, rectum
• Inhaled
• Injectable (SC, IM, ID) [will cover NEXT WEEK], IV week 7,8
Solid forms: - Answer- • capsule, tablet, enteric coated
Caplet - Answer- • - coated medication and shaped like a capsule
Liquid forms - Answer- syrups: liquid medication dissolved in a sugar solution
, Elixirs - Answer- clear liquid meds dissolved in an alcohol/water solution
Aerosol - Answer- • inhalation and nebulization- p. 901
Other form of med - Answer- • sustained release (SR) SR XR: sustained, extended
release- tablet or capsule that contains small particles of a medication coated with
material that requires time to dissolve
Extended release (XR)
Aqueous solution - Answer- • ; aqueous suspension; tincture
Patches: - Answer- • Ensure old medication is removed & documented when new dose
is administered, rotate sites of patches (do not use the same site for 1 week), avoid
hairy areas, date & sign
Enemas and suppository - Answer- • Enema is an instillation of a solution into the
rectum and sigmoid colon
• Purpose- to promote defecation by stimulating peristalsis. The volume of fluid
stretches the rectal wall and stimulates defection
• Indication- constipation, prior to bowel surgery/ interventions. O administer medication
• Type of dermal - Answer- • Suppositories, foams, creams & tablets
• Assess ability to self administer
• Use of gloves and applicator
• Client positioning, comfort, privacy, and hygiene
• Allow client to empty bladder prior to administration
• Allow client to lie quietly, in a supine position, for 10 minutes after administration
• Offer peri-pads, to protect clothing, if client is going to be getting up
Eye, ear, nose drops - Answer- • Wash hands
• Eye drops/ ointment, into conjunctival sac
• Press on lacrimal duct for 30-60 sec to decrease systemic absorption
- Ear drops
• Massage of preauricular areas help passage of ear drops
• Adults- pull auricle of ear up and out
- Child <3 years of age- pull auricle down and back- straightening of canal for children
and adults
- Positioning
• Pt to blow nose before nose sprays or drops
Vaginal instillation
Onset - Answer- the time it takes for the drug to elicit a therapeutic response
peak - Answer- time at which a medication reaches its highest effective concentration
Trough - Answer- minimum blood serum concentration before next scheduled dose
