What should the nurse use when placing medication into a patient’s vaginal canal?

An applicator

An irrigation kit

A finger

A gauze pad

Answer and Explanation

The Correct Answer is A

Choice A reason: An applicator ensures precise vaginal delivery; it maintains sterility, controls depth, and optimizes medication contact with mucosa for effective absorption.

Choice B reason: Irrigation kits are for flushing; they’re inappropriate for solid or cream medications, risking uneven distribution or mucosal irritation in the canal.

Choice C reason: A finger risks contamination; without sterile technique, it introduces bacteria, and depth control is poor compared to a designed applicator.

Choice D reason: Gauze pads can’t deliver deeply; medication may stick or distribute poorly, reducing efficacy and comfort in vaginal administration settings.

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Correct Answer is D

Explanation

Choice A reason: Biofeedback uses devices to monitor physiological signals (e.g., heart rate); it doesn’t involve hands altering energy fields, focusing on self-regulation instead.

Choice B reason: Allopathic is conventional medicine (e.g., drugs, surgery); it relies on empirical science, not energy field manipulation, differing from the described technique.

Choice C reason: Imagery involves mental visualization for relaxation; it’s cognitive, not physical, and lacks the hands-on energy assessment central to the practice.

Choice D reason: Therapeutic touch uses hand passes to sense and adjust energy fields; it aims to reduce tension, aligning precisely with the described holistic method.

A. Suggest total bed rest. B. Assist the patient when ambulating in the hall. C. Monitor intake and output. D. Instruct the resident to rise slowly when getting out of bed or a chair.

Correct Answer is D

Explanation

Choice A reason: Bed rest increases clot risk and deconditioning; vasodilators lower pressure, but mobility is beneficial unless contraindicated, making this overly restrictive.

Choice B reason: Assisting ambulation helps, but it’s less proactive; it doesn’t address orthostatic hypotension risks at initiation of movement, where falls are most likely.

Choice C reason: Monitoring intake/output tracks fluid status, not directly addressing vasodilation’s hypotensive effects during position changes, missing the primary safety concern.

Choice D reason: Rising slowly counters orthostatic hypotension from vasodilation; it allows autoregulation to stabilize pressure, reducing fall risk in an active elderly patient.

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What should the nurse use when placing medication into a patient’s vaginal canal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The technique in which the practitioner alters body energy fields by passing his hands over the patient to determine where tensions exist is the practice of:

Correct Answer is D

Explanation

An elderly patient who lives in a skilled nursing facility and who likes to walk is taking a medication that lowers blood pressure by dilating blood vessels. The best nursing action for this patient is to:

Correct Answer is D

Explanation

The physician orders vancomycin 500 mg in 250 mL of D5W IVPB daily to infuse over 2 hours. Tubing drop factor is 15 gtts/mL. Calculate the flow rate in drops per minute.

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