Percutaneous Administration Practice Exam Quiz

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Percutaneous Administration Practice Exam Quiz

 

What is percutaneous administration?

a) Administration of medication through the skin or mucous membranes
b) Administration of medication through injection
c) Administration of medication via the oral route
d) Administration of medication via inhalation

 

Which of the following is a percutaneous route?

a) Oral tablets
b) Transdermal patches
c) Intravenous injection
d) Subcutaneous injection

 

What is the primary advantage of transdermal drug administration?

a) Immediate effect
b) Easy to adjust dose
c) Avoids first-pass metabolism
d) High patient discomfort

 

Which of the following is NOT a method of percutaneous administration?

a) Sublingual tablet
b) Nasal spray
c) Eye drops
d) Intramuscular injection

 

Which factor can significantly affect drug absorption through the skin?

a) Skin hydration
b) Patient age
c) Type of medication
d) All of the above

 

Where should a transdermal patch generally be applied?

a) On hairy areas of the body
b) On broken skin
c) On clean, dry, and intact skin
d) Near open wounds

 

Which of the following is an example of a topical medication?

a) Antibiotic ointment
b) Oral suspension
c) Insulin injection
d) Sublingual nitroglycerin

 

What precaution should a nurse take when applying topical medication?

a) Use bare hands to apply medication
b) Apply to an area larger than prescribed
c) Wear gloves to prevent self-exposure
d) Allow medication to dry before covering

 

What is the purpose of occlusive dressings in percutaneous administration?

a) To reduce absorption
b) To enhance drug penetration
c) To replace medication
d) To decrease skin irritation

 

Which medication is commonly administered through a transdermal patch?

a) Metformin
b) Nitroglycerin
c) Insulin
d) Warfarin

 

What should the nurse document after administering a topical medication?

a) Time and site of application
b) Expiration date of medication
c) Manufacturer’s name
d) Method of application

 

How should a nitroglycerin ointment be applied?

a) Rub into the skin
b) Apply using an applicator paper
c) Apply to the mucous membrane
d) Inject under the skin

 

Which instruction should be given to a patient using a transdermal patch?

a) Avoid bathing while wearing the patch
b) Rotate the patch application site
c) Always apply the patch in the same area
d) Remove the patch every two days

 

What is the primary purpose of sublingual medication administration?

a) Enhance taste
b) Prolong absorption time
c) Bypass digestive enzymes
d) Increase drug metabolism

 

What is a common complication of percutaneous drug administration?

a) Systemic toxicity
b) Skin irritation
c) Hypoglycemia
d) Cardiac arrest

 

How should eye drops be administered to avoid contamination?

a) Touch the dropper to the eye
b) Drop directly on the cornea
c) Avoid contact between dropper and eye
d) Place drops in the nasal corner

 

What is the correct sequence for administering ear drops to an adult?

a) Pull the earlobe downward
b) Pull the pinna upward and back
c) Tilt the head sideways toward the treated ear
d) Insert a cotton swab after application

 

What type of medication is commonly used for percutaneous absorption testing?

a) Antihistamines
b) Corticosteroids
c) Antibiotics
d) Allergens

 

What is the proper method for applying medicated powders?

a) Sprinkle directly onto wet skin
b) Spread evenly over dry, clean skin
c) Rub into the skin thoroughly
d) Apply to moist skin areas only

 

Which nursing action is appropriate for administering a nasal spray?

a) Position the patient supine
b) Tilt the head forward slightly
c) Insert the spray tip into the nose and point upward
d) Avoid breathing during administration

 

What is the purpose of buccal administration?

a) Rapid absorption through mucosa
b) Delayed release of medication
c) Limited systemic effects
d) Reduced side effects

 

Which of the following medications is typically administered via buccal route?

a) Aspirin
b) Lozenges
c) Insulin
d) Oral antibiotics

 

How long should a patient keep their mouth closed after applying a sublingual tablet?

a) 1 minute
b) 5 minutes
c) 10 minutes
d) Until the tablet dissolves completely

 

Which statement is true about transdermal administration?

a) It provides a rapid onset of action
b) It requires frequent reapplication
c) It offers sustained drug release
d) It is not suitable for lipid-soluble drugs

 

How should a nurse apply medicated lotion?

a) Rub vigorously into the skin
b) Pat gently onto the skin
c) Cover with an airtight dressing
d) Apply over existing medication

 

Which route of percutaneous medication administration is used for respiratory disorders?

a) Topical
b) Inhalation
c) Sublingual
d) Transdermal

 

Which of the following can enhance the absorption of percutaneous medications?

a) Increased skin thickness
b) Dry, cracked skin
c) Warmth and moisture
d) Reduced circulation

 

What should a nurse do before applying a new transdermal patch?

a) Apply it over the previous patch
b) Clean the area with alcohol
c) Remove the old patch and cleanse the skin
d) Place the new patch near the old one

 

How should ointments be applied to wounds?

a) Directly from the tube
b) Using a sterile applicator
c) With bare hands
d) Onto dirty wounds

 

Why is it essential to assess skin integrity before applying topical medication?

a) To minimize drug absorption
b) To prevent infection or irritation
c) To ensure medication is ineffective
d) To avoid drug resistance

 

What should a nurse assess before applying a topical medication?

a) The patient’s diet
b) Skin condition and integrity
c) Blood glucose level
d) Muscle tone

 

Which of the following is a common site for a transdermal patch?

a) The soles of the feet
b) The abdomen
c) The inner elbow
d) The upper chest or back

 

What is the purpose of cleaning the skin before applying a topical medication?

a) To reduce medication absorption
b) To prevent infection
c) To create a barrier for the drug
d) To cool the skin

 

Which of the following is an example of a medication delivered via percutaneous absorption?

a) Heparin
b) Nicotine patch
c) Amoxicillin tablet
d) Furosemide injection

 

Which route is NOT considered percutaneous?

a) Rectal suppository
b) Ophthalmic drops
c) Intradermal injection
d) Vaginal cream

 

For a medication administered via inhalation, what is the primary route of absorption?

a) Nasal mucosa
b) Oral cavity
c) Pulmonary alveoli
d) Esophagus

 

How long should a transdermal patch remain on the skin unless otherwise specified?

a) 4 hours
b) 12 hours
c) 24 hours
d) As prescribed by the manufacturer

 

What is the first step in applying a percutaneous medication?

a) Apply medication immediately after removal from packaging
b) Check the expiration date of the medication
c) Prepare the patient’s skin with lotion
d) Place the medication on any area of the skin

 

What type of gloves should be used when applying topical medications?

a) Latex or non-latex gloves
b) Thick, reusable gloves
c) Surgical gloves only
d) No gloves are required

 

What is the most common reason for adverse effects with percutaneous medications?

a) Overhydrated skin
b) Incorrect dosage or improper application
c) The patient’s weight
d) Applying to small areas

 

Which statement is true about percutaneous administration?

a) It is always faster than oral administration
b) It is only for systemic effects
c) It minimizes systemic side effects for localized treatments
d) It bypasses the skin barrier

 

What should a nurse teach a patient about handling a used transdermal patch?

a) Reuse the patch for maximum efficiency
b) Store it in a dry container
c) Fold it in half with adhesive sides together before discarding
d) Flush it down the toilet

 

How should vaginal suppositories be stored?

a) In a freezer
b) At room temperature
c) In a refrigerator if instructed by the manufacturer
d) Directly under sunlight

 

When administering a medicated patch, why is it important to rotate application sites?

a) To reduce the drug’s effectiveness
b) To minimize the risk of skin irritation
c) To increase systemic absorption
d) To reduce patient compliance

 

Which precaution should be taken when administering ophthalmic drops?

a) Apply drops directly onto the iris
b) Allow drops to flow from the inner to the outer corner of the eye
c) Administer drops at room temperature
d) Use gloves only for single-use vials

 

Why are topical medications preferred for localized skin conditions?

a) They avoid systemic side effects
b) They act more slowly than oral medications
c) They require multiple applications
d) They are not absorbed

 

How should a nurse administer otic drops for a child under 3 years of age?

a) Pull the ear upward and back
b) Pull the ear downward and back
c) Insert the dropper deep into the ear canal
d) Place drops on the outer ear

 

What is the purpose of using spacers with metered-dose inhalers?

a) To slow down medication delivery
b) To ensure more medication reaches the lungs
c) To reduce the effectiveness of the drug
d) To eliminate the need for exhalation

 

How should a nurse prepare the skin for nitroglycerin ointment application?

a) Leave the old ointment on the skin for extra absorption
b) Wash and dry the area thoroughly
c) Apply lotion before ointment
d) Cover the entire chest area

 

When administering a buccal medication, what should the nurse instruct the patient to avoid?

a) Moving the medication with their tongue
b) Chewing or swallowing the medication
c) Drinking water immediately
d) All of the above

 

What is the function of a gel base in topical medication?

a) Reduce drug absorption
b) Facilitate absorption and evaporation
c) Prolong shelf life
d) Increase drug viscosity

 

Which skin condition could hinder absorption of a topical medication?

a) Dry skin
b) Intact skin
c) Thickened skin
d) Normal skin

 

How should a nurse manage excess medication during topical application?

a) Leave it on the skin
b) Wipe it off with sterile gauze
c) Rinse the area with alcohol
d) Cover it with a bandage

 

What is the advantage of using creams over ointments for topical application?

a) Longer duration of action
b) Easier to spread and less greasy
c) Increased systemic absorption
d) Better penetration for all drugs

 

What is the primary purpose of percutaneous medications in palliative care?

a) Rapid onset
b) Pain management with minimal systemic side effects
c) Increase patient discomfort
d) Minimize drug effectiveness

 

A patient has been prescribed a nitroglycerin transdermal patch. The nurse should instruct the patient to:

a) Rotate patch sites daily to avoid skin irritation
b) Remove the patch only when experiencing chest pain
c) Avoid removing the patch once it is applied
d) Place the patch on the same site every day

 

When applying a topical medication, it is important for the nurse to:

a) Use gloves to prevent self-contamination
b) Apply the medication to broken skin for faster absorption
c) Avoid cleaning the area before application
d) Rub the medication vigorously into the skin

 

A nurse is teaching a patient how to apply a medicated cream. The nurse emphasizes that the cream should be:

a) Applied in a thick layer over the entire affected area
b) Spread evenly and rubbed gently into the skin
c) Used sparingly only once a week
d) Covered with a plastic wrap to enhance absorption

 

Transdermal patches are typically used for medications that require:

a) Rapid onset of action
b) Sustained and controlled release
c) Localized effects only
d) Minimal systemic absorption

 

A patient asks why a transdermal patch is being used instead of an oral medication. The nurse explains that transdermal patches:

a) Are less expensive than oral medications
b) Bypass the gastrointestinal system and first-pass metabolism
c) Do not require frequent application
d) Have no risk of systemic side effects

 

A patient is using a fentanyl transdermal patch for chronic pain. The nurse should monitor the patient for:

a) Localized redness and irritation
b) Symptoms of withdrawal
c) Signs of respiratory depression
d) Increased blood pressure

 

Which type of medication is typically not administered via the percutaneous route?

a) Hormones
b) Antibiotics
c) Vaccines
d) Analgesics

 

Before applying a topical antibiotic ointment, the nurse should first:

a) Cover the area with an occlusive dressing
b) Clean the area with soap and water
c) Apply a moisturizer to prevent dryness
d) Apply heat to the area

 

The percutaneous route is most effective for medications that are:

a) Water-soluble
b) Lipid-soluble
c) Highly ionized
d) Large-molecule drugs

 

When educating a patient about topical corticosteroid use, the nurse should include which instruction?

a) “Apply the medication liberally to achieve faster results.”
b) “Do not use the medication on the face unless directed by your healthcare provider.”
c) “Apply the medication to unwashed skin for better absorption.”
d) “Cover the area tightly to enhance drug effectiveness.”

 

A nurse is preparing to apply a topical patch. What is the best location for application?

a) A hairy area of the body
b) An area with thin, intact skin
c) The same location as the previous patch
d) Over a scar or tattoo

 

Which of the following is true about percutaneous drug administration?

a) It is primarily used for hydrophilic drugs.
b) It requires application to damaged skin for better absorption.
c) It provides a slow and steady release of medication.
d) It is less effective in older adults due to thinner skin.

 

A patient reports skin irritation after using a transdermal patch. The nurse’s best action is to:

a) Stop the medication immediately
b) Apply hydrocortisone cream to the site
c) Rotate the patch site and assess for improvement
d) Increase the dose of the medication

 

When removing a transdermal patch, the nurse should:

a) Fold the patch in half with the adhesive sides together
b) Flush the patch down the toilet
c) Discard the patch in a regular trash bin
d) Apply a new patch immediately in the same spot

 

The nurse is applying a topical antifungal powder. The nurse should:

a) Sprinkle the powder on moist skin areas
b) Cover the area with a bandage
c) Apply the powder to dry skin
d) Rub the powder into the skin vigorously

 

A patient using a transdermal nicotine patch complains of insomnia. The nurse should:

a) Advise the patient to stop using the patch
b) Suggest applying the patch in the evening
c) Instruct the patient to remove the patch at bedtime
d) Increase the dose of the nicotine patch

 

The effectiveness of a transdermal medication depends on:

a) The size of the patch
b) The duration of contact with the skin
c) The temperature of the skin
d) The patient’s diet

 

Which of the following is an example of a percutaneous medication?

a) Oral tablet
b) Intravenous injection
c) Transdermal nitroglycerin patch
d) Subcutaneous insulin injection

 

A nurse is applying a topical medication and notices the patient has an allergy to adhesives. The nurse should:

a) Avoid using the medication altogether
b) Use a non-adhesive dressing to secure the medication
c) Apply the medication in a smaller dose
d) Cover the medication with gauze

 

To enhance absorption of a percutaneous medication, the nurse may:

a) Apply the medication over scar tissue
b) Massage the area gently after application
c) Apply a cooling compress over the medication
d) Use additional medication for better results

 

The nurse is preparing to administer an eye ointment. What is the correct technique?

a) Apply the ointment to the inner corner of the eye only
b) Place the ointment directly on the cornea
c) Squeeze a thin strip of ointment into the lower conjunctival sac
d) Rub the ointment into the eyelashes

 

Which of the following statements is true regarding transdermal patches?

a) They can be cut in half to adjust the dosage
b) They are applied over the liver for rapid absorption
c) They should not be exposed to external heat sources
d) They must be removed after two hours

 

A patient is prescribed a topical analgesic cream. The nurse instructs the patient to:

a) Apply a thick layer for maximum relief
b) Wash hands immediately after application
c) Avoid covering the area with clothing
d) Use the cream only on broken skin

 

When teaching a patient about the application of a nicotine patch, the nurse emphasizes that:

a) The patch should be applied to the same site daily
b) Showering or swimming will deactivate the patch
c) The patch should be applied to clean, dry, hairless skin
d) Alcohol should be used to clean the site before application

 

What is the primary advantage of percutaneous drug administration?

a) It guarantees immediate therapeutic effect
b) It avoids gastrointestinal side effects
c) It allows precise control of drug levels
d) It eliminates the need for repeated dosing

 

Which percutaneous medication is most commonly used to prevent angina?

a) Topical antibiotic ointment
b) Transdermal nitroglycerin
c) Antifungal powder
d) Steroid cream

 

The nurse is preparing to administer a medicated powder. What is the correct step?

a) Apply the powder to wet skin
b) Gently shake the powder over the affected area
c) Use a cotton swab to apply the powder
d) Mix the powder with water before application

 

The nurse knows that percutaneous medications are absorbed best when applied to:

a) Thick, dry skin
b) Areas with a high concentration of sebaceous glands
c) Hairy skin
d) Calloused areas

 

When applying a transdermal patch, the nurse should avoid:

a) Hairless skin
b) Using gloves during application
c) Placing the patch on irritated or broken skin
d) Rotating application sites

 

A patient using a transdermal patch complains of skin redness. The nurse should advise the patient to:

a) Discontinue the patch immediately
b) Switch to an oral formulation
c) Rotate the patch site and monitor for irritation
d) Use a steroid cream under the patch

 

A nurse is teaching a patient about medicated lotions. The patient should be instructed to:

a) Rub the lotion into the skin thoroughly
b) Apply the lotion sparingly to clean, dry skin
c) Use a heat pad to increase absorption
d) Apply the lotion only to wet skin

 

Which of the following is a contraindication for using a transdermal patch?

a) Obesity
b) Skin infection at the application site
c) Age over 65 years
d) Concurrent use of oral medications

 

The nurse should teach the patient that nitroglycerin patches:

a) Should be worn 24/7 to prevent angina
b) Should be removed for at least 10-12 hours daily to prevent tolerance
c) Must be placed near the heart for optimal effect
d) Should be replaced every 72 hours

 

Which method enhances the absorption of topical medications?

a) Covering the application area with a plastic wrap
b) Applying the medication to damp skin
c) Using the medication only once a day
d) Massaging the area before application

 

A patient is prescribed a topical corticosteroid. The nurse should inform the patient to:

a) Apply the medication to the entire body to prevent inflammation
b) Use the medication sparingly and only as directed
c) Expect immediate effects after one application
d) Apply the medication liberally to the face

 

A nurse is applying a transdermal patch and notices the adhesive is not sticking well. The best action is to:

a) Apply tape over the patch
b) Remove and replace the patch
c) Reinforce the patch with a bandage
d) Press firmly for 10 seconds

 

When administering a medicated eye drop, the nurse should instruct the patient to:

a) Close their eyes tightly after administration
b) Blink rapidly to distribute the medication
c) Gently press on the nasolacrimal duct for 1-2 minutes
d) Look down while applying the drops

 

Which type of percutaneous medication is designed for local anesthetic purposes?

a) Lidocaine patches
b) Antifungal creams
c) Hormone replacement patches
d) Antibacterial ointments

 

A patient asks about the benefit of using a medicated transdermal patch. The nurse explains that it:

a) Eliminates the risk of side effects
b) Provides consistent blood levels of the drug
c) Is less expensive than oral medications
d) Has an immediate effect

 

To prevent accidental exposure to others, used transdermal patches should be:

a) Disposed of in regular trash bins
b) Flushed down the toilet
c) Folded with adhesive sides together and discarded properly
d) Placed back into the packaging

 

When applying topical medication to an open wound, the nurse should first:

a) Clean the wound with sterile saline
b) Apply the medication directly from the tube
c) Use ungloved hands to minimize discomfort
d) Cover the wound immediately after applying medication

 

A transdermal patch is prescribed for pain relief. The nurse knows the patch should be:

a) Placed over bony prominences
b) Removed and replaced every 6 hours
c) Applied to a clean, dry, and hairless area
d) Applied near the site of pain

 

Which of the following medications is commonly administered percutaneously for motion sickness?

a) Lidocaine
b) Scopolamine
c) Hydrocortisone
d) Nitroglycerin

 

Before applying a medicated cream, the nurse should ensure the skin is:

a) Warmed with a heating pad
b) Clean and free of oils or debris
c) Wet to improve absorption
d) Scrubbed vigorously

 

What is the main advantage of a transdermal medication system?

a) It can deliver a large dose of medication instantly
b) It bypasses the gastrointestinal system
c) It requires less frequent application than oral medications
d) It eliminates all risk of skin irritation

 

When administering a topical antifungal medication, the nurse should instruct the patient to:

a) Apply the medication only to visible lesions
b) Avoid applying the medication to the edges of the affected area
c) Continue treatment for the full prescribed duration
d) Stop using the medication as soon as symptoms improve

 

A patient is using a nicotine transdermal patch. The nurse should caution the patient to avoid:

a) Consuming caffeine while wearing the patch
b) Smoking while using the patch
c) Drinking alcohol while using the patch
d) Eating spicy foods while using the patch

 

The nurse is teaching a patient about the application of a transdermal estrogen patch. The patient should be instructed to:

a) Apply the patch to the breasts for maximum absorption
b) Rotate the site of application with each new patch
c) Remove the patch at bedtime
d) Replace the patch every three days

 

What is the most important factor in determining the absorption rate of percutaneous medications?

a) The patient’s hydration level
b) The medication’s dosage
c) The condition of the skin
d) The patient’s body temperature

 

A patient is prescribed a topical corticosteroid. The nurse explains that overuse of this medication can lead to:

a) Increased risk of infection
b) Hypersensitivity reactions
c) Systemic side effects
d) Development of resistance

 

When applying a medicated patch, the nurse should:

a) Shave the area to improve adhesion
b) Write the date and time of application on the patch
c) Cover the patch with an adhesive bandage
d) Use alcohol to clean the skin before application

 

Which of the following is a potential side effect of using transdermal patches?

a) Bradycardia
b) Local skin irritation
c) Hypotension
d) Drowsiness

 

The nurse is applying a nitroglycerin ointment. Which of the following actions is correct?

a) Rub the ointment into the skin until absorbed
b) Apply the ointment to the chest using a paper applicator
c) Place the ointment on broken skin for faster absorption
d) Cover the ointment with a dry gauze

 

When teaching a patient about percutaneous medications, the nurse emphasizes:

a) Avoiding direct sunlight on the application site
b) Applying medications to the same site each time
c) Discontinuing use if no effects are felt within 24 hours
d) Increasing the dosage if the medication is ineffective

 

What is the most common site for the application of a transdermal patch?

a) The abdomen
b) The upper arm
c) The sole of the foot
d) The lower back

 

When administering a medicated lotion, the nurse knows to:

a) Rub the lotion in a circular motion until absorbed
b) Apply the lotion gently using a cotton ball
c) Leave a thin layer on the skin surface without rubbing
d) Heat the lotion before application

 

What is the primary purpose of using a barrier cream?

a) To prevent water loss from the skin
b) To treat fungal infections
c) To reduce systemic absorption of medications
d) To protect the skin from irritants

 

The nurse is applying a transdermal patch for hormone replacement therapy. Which precaution is necessary?

a) Wear gloves to prevent self-exposure
b) Place the patch near a bony area
c) Apply heat to the patch for faster absorption
d) Clean the area with hydrogen peroxide

 

For effective absorption of topical medications, the nurse should:

a) Apply a large amount of medication
b) Massage the medication vigorously into the skin
c) Apply the medication to warm, moist skin
d) Use a thin layer as directed

 

To prevent contamination, ophthalmic drops should be:

a) Refrigerated before use
b) Applied directly to the cornea
c) Administered without touching the dropper to the eye
d) Used only once and discarded

 

When applying topical medications, the nurse should assess for:

a) Skin integrity and potential allergic reactions
b) Body temperature and pulse rate
c) Muscle tone and skin turgor
d) Blood pressure and respiratory rate

 

Which of the following is a priority nursing action when removing a transdermal patch?

a) Cleanse the skin with alcohol
b) Dispose of the patch in a sharps container
c) Fold the patch in half with the adhesive side inward
d) Apply a new patch immediately

 

A patient reports irritation under a transdermal patch. The nurse’s first action should be to:

a) Replace the patch in a different location
b) Stop the medication and inform the physician
c) Apply a hydrocortisone cream to the area
d) Assess the site for signs of an allergic reaction

 

How should a nurse prepare a patient’s skin before applying a transdermal patch?

a) Shave the area to ensure proper adhesion
b) Apply lotion to prevent dryness
c) Wash the area with soap and water and dry thoroughly
d) Use an alcohol swab to clean the area

 

Which of the following is a contraindication for applying a topical corticosteroid?

a) Skin infection at the application site
b) Chronic eczema
c) Contact dermatitis
d) Psoriasis

 

When applying a topical analgesic cream, the nurse should avoid:

a) Using gloves during application
b) Covering the area with an occlusive dressing
c) Applying the cream to open wounds
d) Educating the patient about possible side effects

 

A nitroglycerin ointment is prescribed. The nurse knows to apply the ointment using:

a) A gloved hand
b) A sterile tongue depressor
c) The provided applicator paper
d) A cotton swab

 

The primary function of a keratolytic agent is to:

a) Reduce inflammation
b) Moisturize dry skin
c) Remove dead skin cells
d) Treat bacterial infections

 

A transdermal medication may not be effective if:

a) The patient has a fever
b) The patch is applied to an area with scar tissue
c) The patch is replaced every 24 hours
d) The patient takes oral medications

 

Which of the following medications is often delivered via transdermal patch for chronic pain?

a) Fentanyl
b) Acetaminophen
c) Ibuprofen
d) Morphine

 

A nurse applying a topical antibiotic should instruct the patient to:

a) Use the medication only when symptoms are severe
b) Cover the area with an airtight dressing
c) Apply the medication as prescribed, even after symptoms improve
d) Expect mild irritation at the application site

 

The nurse explains that a key advantage of percutaneous drug administration is:

a) Rapid onset of action
b) High bioavailability
c) Consistent therapeutic blood levels
d) Minimal risk of skin irritation

 

When administering a topical anti-inflammatory, the nurse should:

a) Massage the area vigorously
b) Monitor the patient for systemic effects
c) Apply the medication only to inflamed areas
d) Avoid using gloves during application

 

A transdermal patch is found loose on a patient. The nurse should:

a) Remove the patch and apply a new one to a different site
b) Reapply the same patch to the original site
c) Use adhesive tape to secure the patch
d) Report the incident to the prescribing physician

 

A patient asks why topical medications work slower than oral medications. The nurse explains:

a) Topical medications are not absorbed into the bloodstream
b) Topical medications are broken down by enzymes in the skin
c) Absorption through the skin takes longer than through the gastrointestinal tract
d) Topical medications do not have an immediate therapeutic effect

 

To reduce systemic absorption of a topical medication, the nurse should:

a) Apply the medication in a thin layer
b) Use an occlusive dressing over the medication
c) Heat the area before application
d) Massage the area after applying the medication

 

Which of the following percutaneous medications requires monitoring for overdose symptoms?

a) Lidocaine patch
b) Hydrocortisone cream
c) Salicylic acid ointment
d) Calamine lotion

 

A patient with psoriasis is prescribed a topical ointment. The nurse advises the patient to:

a) Use a generous amount of ointment
b) Avoid applying the ointment to normal skin
c) Discontinue use once lesions improve
d) Store the ointment in a freezer

 

The nurse applies an ophthalmic ointment. To ensure proper administration, the nurse instructs the patient to:

a) Blink rapidly after application
b) Rub the eye to spread the ointment
c) Close the eye and roll it gently
d) Wash the eye immediately after application

 

Which of the following is a common indication for percutaneous administration?

a) Acute infections
b) Pain management
c) Management of seizures
d) Replacement of electrolytes

 

A patient is using a capsaicin cream for arthritis pain. The nurse advises the patient to:

a) Use gloves when applying the cream
b) Apply the cream to broken skin for faster relief
c) Use a heating pad after application
d) Discontinue use if a burning sensation occurs

 

When applying a transdermal patch, the nurse knows to:

a) Avoid applying the patch over tattoos or scars
b) Cover the patch with plastic wrap for security
c) Rotate application sites daily
d) Cut the patch to adjust the dosage