When administering topical medications, which is an important nursing action?

Encourage the patient to self-apply the medication.

Wear treatment gloves during the entire application process.

Change gloves between prepping the skin and applying the medication.

Perform effective hand hygiene before and after applying the medication.

Answer and Explanation

The Correct Answer is D

a) Encouraging self-application is beneficial in some cases, but it is not always appropriate. The nurse must ensure the medication is applied correctly and safely, especially if the patient has mobility or cognitive impairments.

b) Wearing treatment gloves is important when handling certain medications, but it is not required for all topical applications. Some medications, such as nitroglycerin ointment, require gloves to prevent nurse exposure, but others do not.

c) Changing gloves between skin preparation and medication application is not a universal requirement. In most cases, the same pair of gloves can be used unless contamination occurs.

d) Performing effective hand hygiene before and after applying the medication is the most essential action to prevent infection and cross-contamination.

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Correct Answer is B

Explanation

a) Decreased drug effects are unlikely in liver disease because impaired liver function reduces drug metabolism, leading to higher drug concentrations in the bloodstream.

b) Increased drug effects occur because the liver is responsible for metabolizing many drugs. In liver disease, drug metabolism is slowed, leading to prolonged drug action and potential toxicity.

c) Decreased therapeutic range is not the primary concern. The therapeutic range refers to the safe and effective drug concentration, but liver disease mainly affects drug metabolism and clearance.

d) Increased therapeutic range is incorrect because liver disease does not widen the range of safe drug levels; instead, it increases the risk of drug accumulation and toxicity.

A. Clarify the order with the charge nurse B. Dilute the medication and administer by GT C. Clarify the order with the health provider who wrote the order D. Administer p.o as ordered

Correct Answer is C

Explanation

a) Clarifying the order with the charge nurse is not the correct action. The charge nurse may not be able to clarify medication orders and is not the primary contact for this issue.

b) Diluting and administering the medication by gastrostomy tube (GT) is inappropriate because the medication is ordered to be taken p.o. (by mouth), not via the tube.

c) Clarifying the order with the healthcare provider is the most appropriate step. A p.o. order is typically for oral administration, but the client has a gastrotomy tube. The nurse should clarify with the provider whether the medication can be crushed and administered via the tube or if a different route or medication form is necessary.

d) Administering the medication p.o. as ordered would not be appropriate if the client is unable to take oral medications. The nurse should verify the appropriate route of administration based on the patient's condition.

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When administering topical medications, which is an important nursing action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse gives medication to a patient with a history of liver disease. The nurse will monitor this patient for

Correct Answer is B

Explanation

A client has a gastrotomy tube in place. The health care provider ordered the medication p.o. Which action would be appropriate for the nurse to take?

Correct Answer is C

Explanation

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