A nurse is preparing to administer a medication to a patient. Which routes should the nurse anticipate as leading to quicker systemic absorption? (Select all that apply.)

Intramuscular

Intravenous

topically

Transdermal

Oral pills

Answer and Explanation

Correct Answer : A,B

A. Intramuscular: Intramuscular (IM) injections are absorbed faster than oral medications due to the richer blood supply in muscles compared to subcutaneous tissues.

B. Intravenous: Intravenous (IV) administration provides immediate systemic absorption as the medication is delivered directly into the bloodstream.

C. Topically: Topical medications are applied to the skin and generally have a slower absorption rate compared to systemic routes.

D. Transdermal: Transdermal patches provide a steady, controlled release of medication through the skin, but absorption is slower compared to IM and IV routes.

E. Oral pills: Oral medications are absorbed through the gastrointestinal tract, which is slower compared to IM and IV routes.

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Correct Answer is D

Explanation

A. "What do the pills look like?" This is a critical question because identifying the medication will guide the nurse in determining the appropriate course of action. However, it should not be the initial response because emergency services should be alerted immediately if the child's life is potentially at risk.

B. “Ask if there is medication to induce vomiting in the household.” Inducing vomiting is not recommended without knowing the specific substance ingested, as it could cause more harm, particularly if the substance is caustic or can lead to aspiration. This is not the best initial action.

C. "Have the child drink a glass of milk." While milk may sometimes be recommended to coat the stomach, this advice is not universally appropriate, particularly without knowing the substance ingested. Milk could interfere with the absorption of some medications or exacerbate the condition.

D. "I'm calling emergency personnel for you now." This is the best response as it ensures immediate medical help is on the way. Time is critical in poisoning cases, and the child may need immediate intervention from professionals.

A. Barium sulfate B. Penicillin (PCN) C. Estrogen D. Naloxone

Correct Answer is A

Explanation

A. Barium sulfate is used as a contrast agent in radiographic diagnostic testing, particularly for imaging the gastrointestinal tract.

B. Penicillin (PCN) is an antibiotic used to treat infections, not for diagnostic purposes.

C. Estrogen is a hormone used in hormone replacement therapy and other treatments, not for diagnostic testing.

D. Naloxone is used to reverse opioid overdose, not for diagnostic testing.

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A nurse is preparing to administer a medication to a patient. Which routes should the nurse anticipate as leading to quicker systemic absorption? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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