click below
click below
Normal Size Small Size show me how
NCO
Administering Topical Medications to the Skin
| Question | Answer |
|---|---|
| It is necessary to clean the skin before applying a new dose of medication. | true |
| You are reviewing a report for a patient who will soon be admitted to the unit. One of the medication orders states "apply to rash twice a day." Before administering the medication, what should you do? (Select all that apply. | A) Assess the condition of the patient's skin C) Review information about medication E) Determine the patient's allergies F) If necessary, cleanse the skin |
| Clean gloves are appropriate for applying creams, ointments, or lotions to nonintact skin. | false |
| The purpose of cleansing the area before applying a medication directly to the skin is to produce muscle relaxation and to decrease pain. | false |
| A patient is to be discharged home. What expected outcomes should the patient have met regarding application of a medication to an area of psoriasis (a chronic skin condition)? (Select all that apply.) | The patient correctly demonstrates how to self-administer the medication. The patient experiences an improvement in the condition. The patient is able to state the purpose of the medication, the frequency of application, and the side effects |
| The hospice nurse has taught the patient's wife how to administer a Duragesic (fentanyl) patch every 72 hours to relieve the patient's pain. Which of the following responses of the patient and/or wife indicate the expected outcomes have been met? | The wife applies a new patch every 72 hours on his chest, discarding of the previous one appropriately. The patient will rate pain lower than "6." |
| The health care provider's order states “Nitrodisc 0.4 mg/h transdermal patch daily, leave on for 12h and remove for 12h.” Which of the following would be correct actions made by the nurse? (Select all that apply.) | Apply the patch to a non-hairy surface of the upper back on a confused elderly patient. Wear clean gloves, remove the old patch, and fold so that used sides are together. |
| The health care provider's order states “Nitrodisc 0.4 mg/h transdermal patch daily, leave on for 12h and remove for 12h.” Which of the following would be correct actions made by the nurse? (Select all that apply.) | At correct time of administration, write the date, time, and initials on the new patch before applying to the patient's skin. |
| Correct | Touch only the edges of a transdermal patch. Avoid applying the medication over hairy surfaces or scar tissue. Rotate application sites. |
| Incorrect | Apply estrogen patches over breast tissue. Rub and/or massage antianginal ointment into the skin. Wear clean gloves when applying topical creams to open, noninfectious skin lesions. |
| Which of the following actions made by you is an evaluation measure? | You ask the patient what the medication is for and to list the possible side effects. |
| You are teaching a patient how to care for his poison oak and demonstrate the application of calamine lotion. The patient asks you, "Why do you always wash it first, when you're just going to cover it up again with the lotion?" What is your best response? | "It removes microorganisms and debris that block penetration of the medicated lotion to the skin." |
| The patient also has nitroglycerin ointment ordered. You have been teaching the patient how to apply his nitroglycerin ointment. Which statement, if made by the patient, indicates that further instruction is needed? | "I should apply the medication only to my chest or back, avoiding hairy surfaces." |