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Examen

NURS 40 – Oral & Topical Administration Techniques – 2025/2026 – EAQ Format Review

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Covers detailed EAQ-style questions related to oral and topical drug administration. Topics include mucous membranes, ear and eye drop positioning, nasal delivery, dermal patch instructions, and patient education. Keywords: oral medication form ear drop for child topical drug absorption transdermal patch nasal spray angle inhalation medication Sims' position vaginal route prep nursing EAQ answers drug route review

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Nursing Pharmacology
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Institución
Nursing pharmacology
Grado
Nursing pharmacology

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Subido en
21 de julio de 2025
Número de páginas
75
Escrito en
2024/2025
Tipo
Examen
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FUNDERMENTALS OF NURSING-EAQ CHAPTER 32
QUESTIONS WITH 100% RATED ANSWERS 2025/2026
LATEST UPDATE/GET A+

During discharge teaching, the nurse gives the patient prescriptions to have filled at the local
pharmacy. Which section of the medication prescription should the nurse check before giving the
patient the prescription for a controlled substance?
- Signature
- Inscription
- Superscription
- Drug Enforcement Agency (DEA) # - Drug Enforcement Agency #

Rationale: When the primary health care provider prescribes a controlled substance to the
patient, the prescriber's Drug Enforcement Agency (DEA) number must be on the prescription.
The primary health care provider who wishes to prescribe controlled substances must register
with the Federal Drug Enforcement Agency. Therefore, the nurse should check for DEA number
section in the prescription before administering the medication. The signature section of the
prescription contains information about label instructions, such as directions to the patient. The
inscription section of the prescription contains the drug name, strength, and dose. The
superscription section of the prescription contains the patient's name, address, age, and the date
given.

Which type of parenteral administration is used in emergency cases for infants and toddlers when
no other sites are available?

Intrathecal

Intrapleural

Intraarterial

Intraosseous - Intraosseous

Rationale: Intraosseous administration involves the infusion of medication directly into the bone
marrow. It is most commonly used for infants and toddlers in emergency cases when no other
sites are available. The intrathecal route involves surgically placing the medications through a
catheter in the subarachnoid space. The intrapleural route uses either a syringe and needle or a
chest tube to administer the intrapleural medications directly into the pleural space. It is most
commonly used for the administration of chemotherapeutic agents. Intraarterial route involves
the direct administration of medications into the arteries; this site is most commonly used for
patients with arterial clots.

,A primary health care provider prescribed a transparent fentanyl patch to manage a patient's pain.
A new patch was applied without removing the old one. Which symptoms may be seen in the
patient due to the delayed removal of the fentanyl patch?

Pain

Coma

Death

Allergic reactions

Respiratory depression - Coma, Death, Respiratory Depression

Rationale: Medication remains on the patch even after its recommended duration of use. When
the old transdermal patch is inadvertently left in place while a new one is applied, it may result in
an overdose of medication. The patient using fentanyl transdermal patches for pain management
can experience coma, death, and respiratory depression when the patches are not removed in the
recommended time. Pain and allergic reactions are not typical when the patches are not removed
in the recommended time.
p. 637

The nurse reviews the clinical data of four patients. Which patient is suitable to receive anti-
inflammatory agents through the inhalational route?

Patient A

Patient B

Patient C

Patient D - Patient B

Rationale: Asthma is primarily an inflammatory disease; therefore a patient with asthma may
require anti-inflammatory agents through inhalational route. Patients with chronic obstructive
pulmonary disease (COPD) receive bronchodilators because they usually have problems with
bronchoconstriction. A patient with emphysema may receive a bronchodilator because
emphysema causes bronchoconstriction. A patient with pneumonia may not receive anti-
inflammatory agents through the inhalational route because pneumonia is treated with
antibiotics. A patient with bronchitis may not receive anti-inflammatory agents through the
inhalational route because bronchitis causes bronchoconstriction.

Which type of prescription order should the nurse carry out until the health care provider cancels
the order?

Prn order

,Now order

One-time order

Standing order - Standing order

Rationale: A routine medication order or standing order is a type of prescription order that
should be carried out until the health care provider cancels it. A prn order signifies that the
medication is to be administered whenever required by the patient. A now order indicates that the
medication can be given within 90 minutes. A one-time order is a type of prescription order that
is to be given once at a specified time.
p. 621

The registered nurse is teaching the right route of drug administration to nursing students. Which
of a nursing student's statements indicates a need for further teaching?

"The medication should be labeled after preparation."

"Enteral syringes should not be used to prepare oral medications."

"Failure to remove the cap before administering the oral medication may result in aspiration."

"Administration of oral products through intravenous route may result in the formation of a
sterile abscess." - "Enteral syringes should not be used to prepare oral medications."

Rationale: Enteral syringes can be used for preparing oral medications, because they have a
different color from the parenteral syringe and will be clearly labeled for oral or enteral use. Any
prepared medication should be labeled soon after its preparation to prevent any adverse effects of
the unlabeled drug. Removing any caps from the tip of an oral syringe before administering the
medication will help in preventing aspiration. Administration of oral preparations through
parenteral route may result in the formation of a sterile abscess and may also result in fatal
consequences.
p. 628

Which statement is true regarding dry powder inhalers (DPIs)?

They require more manual dexterity.

The medication in them may clump in a humid climate.

They require good coordination of puffs with inhalation.

They use a chemical propellant to push the medication out of the inhaler. - The medication in
them may clump in a humid climate.

, Rationale: The medication in DPIs may clump in a humid climate. DPIs require less manual
dexterity. There is no need to coordinate puffs with inhalation because DPI devices are activated
with the patient's breath.Pressurized metered-dose inhalers (pMDIs) use a chemical propellant to
push the medication out of the inhaler.
p. 643

A medication has a minimum effective concentration of 25 mg/dL and the therapeutic range is
25 to 100 mg/dL. What is the plasma concentration above which the toxic effects of the drug
may appear? Record your answer using a whole number.

_________ mg/dL - 100 mg/dL

Rationale: The highest reading of a therapeutic range corresponds to the toxic range of plasma
concentration. Any drug levels above this concentration are toxic. The highest value of the
therapeutic range of the drug in question is 100 mg/dL, so plasma concentration of the drug
above 100 mg/dL is toxic.
p. 620

The nurse has been asked to prepare a 1% solution of medication in distilled water. How much of
the medication should the nurse dissolve in 100 mL of distilled water? Record your answer using
a whole number, and, please note, no comma is needed.

______ mg - 1000 mg

Rationale: A 1% solution contains 1 gram of the medication dissolved in 100 mL of the solution.
Because the unit is mg, and 1 gram is 1000 mg, the nurse should dissolve 1000 mg of the
medication in 100 mL of water.
p. 618

The nurse is administering medications to a 4-year-old patient. After the nurse explains which
medications are being given, the mother states, "I don't remember my child having that
medication before." Which action should the nurse take next?

Give the medications.

Identify the patient using two patient identifiers.

Withhold the medications and verify the medication orders.

Provide medication education to the mother to help her better understand her child's medications.
- Withhold the medications and verify the medication orders.

p 625
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