C HAPTER 07: P ERCUTANEOUS
A DMINISTRATION
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which advantage applies to nitrogl ycerin ointment?
a. It does not give the patient a bad taste in the mouth.
b. The amount of ointment does not matter in obtaining a therapeutic
response.
c. It does not cause headaches as an adverse effect.
d. It provides relief of anginal pain for several hours longer than
sublingual medication.
ANS: D
Nitrogl ycerin ointment provides relief of anginal pain for several hours
longer than sublingual preparations. Nitrogl ycerin pills do not have a bad
taste. Dosage is critical to the success of use. All nitrogl ycerin preparations
may cause headaches because of vasodilation.
DIF: Cognitive Level: Comprehension REF: p. 87 OBJ: 3
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Pain | Health Promotion
, 2. Which action will the nurse perform when administering a transdermal
patch to a patient with metastatic cancer bein g admitted to the hospital for
pain control?
a. After removal, dispose of the old patch in a receptacle in the
patient’s room.
b. Change the fentanyl patch every day, either in the morning or at
bedtime.
c. Hold the short -acting oral pain medication when a fenta nyl patch is
initiated.
d. Label the patch with date, time, dosage, and initials after patch
placement.
ANS: D
Labeling is appropriate when transdermal disks are placed. Patches are to be
disposed of in a receptacle on the medication cart, not in the pati ent’s room.
Fentanyl patches are changed every 72 hours. Fentanyl patches take up to 12
hours to be effective; therefore, short -acting pain medication is continued.
DIF: Cognitive Level: Application REF: p. 89 OBJ: 4
NAT: NCLEX Client Needs Category: Ph ysiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Pain | Safet y
3. Which rationale supports the nurse appl yi ng gentle pressure to the inner
corner of the eyelid after instilling eyedrops?
a. Decreases the risk of infectio n.
b. Maintains intraocular pressure.
c. Prevents systemic effects.
d. Provides comfort to the patient.
ANS: C
A DMINISTRATION
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which advantage applies to nitrogl ycerin ointment?
a. It does not give the patient a bad taste in the mouth.
b. The amount of ointment does not matter in obtaining a therapeutic
response.
c. It does not cause headaches as an adverse effect.
d. It provides relief of anginal pain for several hours longer than
sublingual medication.
ANS: D
Nitrogl ycerin ointment provides relief of anginal pain for several hours
longer than sublingual preparations. Nitrogl ycerin pills do not have a bad
taste. Dosage is critical to the success of use. All nitrogl ycerin preparations
may cause headaches because of vasodilation.
DIF: Cognitive Level: Comprehension REF: p. 87 OBJ: 3
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Pain | Health Promotion
, 2. Which action will the nurse perform when administering a transdermal
patch to a patient with metastatic cancer bein g admitted to the hospital for
pain control?
a. After removal, dispose of the old patch in a receptacle in the
patient’s room.
b. Change the fentanyl patch every day, either in the morning or at
bedtime.
c. Hold the short -acting oral pain medication when a fenta nyl patch is
initiated.
d. Label the patch with date, time, dosage, and initials after patch
placement.
ANS: D
Labeling is appropriate when transdermal disks are placed. Patches are to be
disposed of in a receptacle on the medication cart, not in the pati ent’s room.
Fentanyl patches are changed every 72 hours. Fentanyl patches take up to 12
hours to be effective; therefore, short -acting pain medication is continued.
DIF: Cognitive Level: Application REF: p. 89 OBJ: 4
NAT: NCLEX Client Needs Category: Ph ysiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Pain | Safet y
3. Which rationale supports the nurse appl yi ng gentle pressure to the inner
corner of the eyelid after instilling eyedrops?
a. Decreases the risk of infectio n.
b. Maintains intraocular pressure.
c. Prevents systemic effects.
d. Provides comfort to the patient.
ANS: C
