Podcast
Questions and Answers
A provider prescribes a sublingual medication for a client who has an NG tube in place. Which action should the nurse take?
A provider prescribes a sublingual medication for a client who has an NG tube in place. Which action should the nurse take?
- Administer the crushed medication through the NG tube.
- Request a prescription for an oral formulation of the medication.
- Dissolve the medication in water and give it through the NG tube.
- Administer the medication under the client’s tongue. (correct)
The doctor orders a sublingual medication, but the patient is unable to reliably hold things under their tongue. What should the nurse do FIRST?
The doctor orders a sublingual medication, but the patient is unable to reliably hold things under their tongue. What should the nurse do FIRST?
- Mix the medication with a small amount of water and have the patient swallow it.
- Administer the medication buccally (between the cheek and gum).
- Contact the provider to request an alternative route of administration. (correct)
- Crush the medication and administer it through a nasogastric tube.
A nurse is preparing to administer a medication via different routes. Which route generally leads to the fastest absorption rate?
A nurse is preparing to administer a medication via different routes. Which route generally leads to the fastest absorption rate?
- Subcutaneous
- Intramuscular
- Intravenous (correct)
- Oral
Which medication route provides the most rapid onset of a medication but also poses the greatest risk of adverse effect if administered incorrectly?
Which medication route provides the most rapid onset of a medication but also poses the greatest risk of adverse effect if administered incorrectly?
A patient is prescribed a medication that can be administered either intravenously or intramuscularly. Which factor would most strongly favor choosing the intravenous route?
A patient is prescribed a medication that can be administered either intravenously or intramuscularly. Which factor would most strongly favor choosing the intravenous route?
A nurse accidentally administers an intravenous medication too rapidly. What is the priority nursing intervention?
A nurse accidentally administers an intravenous medication too rapidly. What is the priority nursing intervention?
Compared to oral medications, intravenous medications generally:
Compared to oral medications, intravenous medications generally:
A newly licensed nurse is preparing to administer an IV medication. Which action requires intervention by the supervising nurse?
A newly licensed nurse is preparing to administer an IV medication. Which action requires intervention by the supervising nurse?
A nurse is preparing to administer gentamicin intravenously to a patient. To ensure accurate serum gentamicin levels, when should the nurse draw the trough and peak levels?
A nurse is preparing to administer gentamicin intravenously to a patient. To ensure accurate serum gentamicin levels, when should the nurse draw the trough and peak levels?
A patient receiving neuromuscular-blocking agents is being monitored by a nurse. Which assessment findings are MOST indicative of early respiratory distress?
A patient receiving neuromuscular-blocking agents is being monitored by a nurse. Which assessment findings are MOST indicative of early respiratory distress?
A client who recently underwent a kidney transplant is starting cyclosporine therapy. Which dietary instruction is MOST critical for the nurse to provide regarding potential adverse interactions?
A client who recently underwent a kidney transplant is starting cyclosporine therapy. Which dietary instruction is MOST critical for the nurse to provide regarding potential adverse interactions?
A nurse is educating a client on the proper use of transdermal patches. Which statement by the client indicates a clear understanding of the instructions?
A nurse is educating a client on the proper use of transdermal patches. Which statement by the client indicates a clear understanding of the instructions?
A nurse is providing discharge instructions to the parents of a child who has been prescribed an oral antibiotic. Which instructions are MOST important to include?
A nurse is providing discharge instructions to the parents of a child who has been prescribed an oral antibiotic. Which instructions are MOST important to include?
When educating a patient about a newly prescribed medication, what is the MOST important reason to discuss potential adverse effects?
When educating a patient about a newly prescribed medication, what is the MOST important reason to discuss potential adverse effects?
A patient is prescribed a medication that requires peak and trough levels to be drawn. What is the MOST important reason for monitoring these levels?
A patient is prescribed a medication that requires peak and trough levels to be drawn. What is the MOST important reason for monitoring these levels?
Why is it important for nurses to assess for early signs of respiratory distress in patients receiving neuromuscular-blocking agents?
Why is it important for nurses to assess for early signs of respiratory distress in patients receiving neuromuscular-blocking agents?
A patient on cyclosporine post-transplant asks if they can take an over-the-counter cold medicine. What is the MOST appropriate nursing response?
A patient on cyclosporine post-transplant asks if they can take an over-the-counter cold medicine. What is the MOST appropriate nursing response?
What is the MOST critical reason for thoroughly drying the skin before applying a transdermal patch?
What is the MOST critical reason for thoroughly drying the skin before applying a transdermal patch?
Flashcards
Sublingual medication
Sublingual medication
Medications designed to dissolve under the tongue for rapid absorption into the bloodstream.
NG tube
NG tube
A tube inserted into the stomach via the nose for feeding or medication administration.
Incorrect administration of sublingual meds
Incorrect administration of sublingual meds
Giving sublingual medication through an NG tube alters absorption and effectiveness.
Intravenous (IV) medication route
Intravenous (IV) medication route
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Absorption through mucous membranes
Absorption through mucous membranes
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Risk of IV administration
Risk of IV administration
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Change route of administration
Change route of administration
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Crushing medications
Crushing medications
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Gentamicin Peak Level Timing
Gentamicin Peak Level Timing
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Early Signs of Respiratory Distress
Early Signs of Respiratory Distress
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Cyclosporine Food Interactions
Cyclosporine Food Interactions
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Transdermal Patch Preparation
Transdermal Patch Preparation
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Stopping Antibiotics
Stopping Antibiotics
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Adverse Effects of Medications
Adverse Effects of Medications
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Written Medication Information
Written Medication Information
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Measuring Doses of Liquid Medication
Measuring Doses of Liquid Medication
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Understanding Medication Purpose
Understanding Medication Purpose
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Respiratory Assessment
Respiratory Assessment
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Study Notes
Sublingual Medication Administration with NG Tube
- Sublingual medications are absorbed under the tongue, not through the GI tract.
- Crushing and administering sublingual medication through an NG tube is incorrect. This alters absorption and effectiveness.
- Dissolving and administering sublingual medication via NG tube is also incorrect; it affects drug efficacy.
- Administer sublingual medication under the tongue as prescribed.
Rapid Onset Medication Route with High Risk
- Intravenous (IV) administration offers the fastest medication onset.
- IV administration carries the highest adverse effect risk if administered incorrectly or too quickly.
Gentamicin Serum Level Measurement
- Draw a trough level immediately before the next dose.
- Draw a peak level 30 minutes after the dose is given.
Early Respiratory Distress with Neuromuscular Blocking Agents
- Dyspnea (difficulty breathing).
- Increased respiratory rate.
- Cyanosis (bluish skin discoloration).
Food Interactions with Cyclosporine
- Grapefruit juice can interact negatively with cyclosporine.
Transdermal Patch Application
- Clean and dry the skin before applying a transdermal patch. This ensures proper adhesion.
Oral Antibiotic Discharge Instructions
- Include information about adverse effects of the medication.
- Provide written medication information.
- Explain the reason for the child taking the medication.
- Do NOT instruct the patient to stop medication when feeling better; complete the course as prescribed.
- Do NOT use a kitchen spoon to administer medication, use the appropriate measuring device.
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Description
Discusses appropriate routes for specific medications, such as administering sublingual drugs and the risks associated with IV administration. It also details timing for gentamicin serum level measurements and signs of respiratory distress due to neuromuscular blocking agents.
