A client has an order for a nitroglycerin transdermal patch. The best way to ensure proper administration of this medication is to:

apply it behind the ear.

place it over a hairy skin area.

rotate sites to avoid skin irritation.

put the initials on patch when applied.

Answer and Explanation

The Correct Answer is C

A) Apply it behind the ear: This option is not correct. Nitroglycerin patches are typically applied to hairless areas of the skin to ensure proper adhesion and absorption. The preferred locations are usually the chest, upper arm, or thigh.

B) Place it over a hairy skin area: This action is inappropriate as hair can interfere with the adhesion of the patch and may affect absorption. It is essential to apply the patch to a clean, dry, and hairless area for optimal effectiveness.

C) Rotate sites to avoid skin irritation: This is the correct action. Rotating the application site helps prevent skin irritation and allows for better absorption of the medication. It also reduces the risk of sensitization or reaction at any one site.

D) Put the initials on the patch when applied: While documenting the application is important, simply putting initials on the patch is not sufficient for ensuring proper administration. It is more crucial to ensure that the patch is applied correctly, and monitoring for skin integrity and effectiveness should be part of the nursing care plan.

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Correct Answer is A

Explanation

A) "I should let the medication dissolve completely": This statement is correct and indicates that the client understands the proper administration of buccal medication. Buccal medications are designed to dissolve slowly between the gum and cheek, allowing for absorption directly into the bloodstream.

B) "I can only drink water, not juice, with this medication": This option is not accurate for buccal medications. While it is important to avoid swallowing the medication prematurely, there are generally no restrictions against consuming juice unless specified by the healthcare provider.

C) "I better chew my medication first for faster distribution": This statement indicates a misunderstanding. Buccal medications should not be chewed, as this can interfere with the intended slow release and absorption of the medication.

D) "I will place the medication in the same location": While placing the medication in the buccal pouch is important, it is not necessary to place it in the same exact spot every time. Rotating the site can help prevent irritation. This statement does not indicate a complete understanding of the proper technique.

A. should not be swallowed because it alters the absorption potential. B. can be held against the roof of the mouth with the tongue to reduce taste. C. can be inserted rectally without loss of absorption potential. D. can be taken between the cheek and tongue to diminish taste.

Correct Answer is A

Explanation

A) Should not be swallowed because it alters the absorption potential: This is the correct explanation. Sublingual medications, such as nitroglycerin, are designed to be absorbed quickly through the mucous membranes under the tongue. Swallowing the medication can significantly reduce its effectiveness and delay absorption, which is crucial for medications used in acute situations like angina.

B) Can be held against the roof of the mouth with the tongue to reduce taste: This option is not correct. Holding the medication against the roof of the mouth does not facilitate the intended sublingual absorption and may not significantly mitigate the taste issue. The medication needs to dissolve under the tongue for effective absorption.

C) Can be inserted rectally without loss of absorption potential: This option is incorrect. Sublingual medications are formulated for absorption through the sublingual mucosa and would not provide the same effects if administered rectally. Different routes of administration have different absorption profiles.

D) Can be taken between the cheek and tongue to diminish taste: While this may help with taste, it does not achieve the desired sublingual absorption. For optimal effect, the medication should be held under the tongue, where it can dissolve and be absorbed directly into the bloodstream.

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A client has an order for a nitroglycerin transdermal patch. The best way to ensure proper administration of this medication is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse teaches the client about the prescribed buccal medication. Which statement by the client indicates teaching by the nurse is successful?

Correct Answer is A

Explanation

A client complains about the taste of the sublingual nitro-glycerine and admits that he swallows it rather than holding it under his tongue. The nurse explains that sublingual medications:

Correct Answer is A

Explanation

The nurse administering a nasal medication via an atomizer bottle should:

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