Nonparenteral Medication Administration

Question 1

Nonparenteral routes

Answer 1

PO
Enteral/PT (per tube)
SL
Buccal
Topical (skin, installation/mucous membranes)
Inhalation

Question 2

Buccal

Answer 2

Inside lip

Question 3

Reassessment after administration

Answer 3

Systems involved
Effect/side effects
Patient perception

Question 4

Advantages of oral administration

Answer 4

Easiest, most desirable

Slow onset, prolonged effect

Question 5

Oral administration effects

Answer 5

Systemic

Local: GI

Question 6

Risk of oral administration

Answer 6

Aspiration

Question 7

Contraindications of oral administration

Answer 7

Dysphagia
GI alteration
Gastric decompression

Question 8

Pre-administration assessment

Answer 8

GI, CV, liver, GU, system of action
Aspiration risk
Fluid restriction
Admin guidelines

Question 9

Aspiration assessments

Answer 9

Swallow
Cough
Gag reflex
Unilateral weakness

Question 10

Aspiration interventions

Answer 10

Admin when fully alert
Self administration
90º position
Flex neck, tuck chin
One pill at a time
Stronger side of mouth
Thicken liquids, mix with food
Avoid straws

Question 11

Types of oral meds

Answer 11

Tablets (scored vs extended release)
Capsules
Liquid

Question 12

Measuring liquids

Answer 12

Flat surface
Bottom of meniscus
NO parenteral syringes for enteral meds
Exact measuring device

Question 13

Liquid meds aseptic technique

Answer 13

Place cap upside down
Mouth of bottle touches nothing
Do not pour back into bottle

Question 14

Enteral administration

Answer 14

Esophagus, stomach, and small/large intestines

Question 15

Enteral assessment

Answer 15

Systems
Aspiration risk
Tube patency, placement

Question 16

Enteral administration

Answer 16

Use liquid meds

Flush with 15-30 mL before and after

Question 17

3 risks of enteral administration

Answer 17

Aspiration
Clogged tube
Fluid overload

Question 18

Enteral aspiration prevention

Answer 18

Monitor residual

HOB > 30º at all times

Question 19

Clogged tube prevention

Answer 19

Liquid meds

Flush before and after

Question 20

Enteral fluid overload prevention

Answer 20

Know fluid status restrictions

Minimum volume needed

Question 21

Risks of topical administration

Answer 21

Irritation
Rebound effect
Absorption into nurse’s skin

Question 22

Transdermal patch administration

Answer 22

Dosed per patch
Wear gloves
Document removal, location
Alternate sites
Label patch with date/time/initial

Question 23

Ophthalmic drops administration

Answer 23

Install into conjunctiva, holding 1-2 cm above
Close eyes after administration
Press lightly on lacrimal duct after admin

Question 24

Ophthalmic ointment administration

Answer 24

Apply thin layer from inner to outer cants of lower lid margin

Question 25

Otic administration

Answer 25

Side lying position Room temp medication Pull up/out for adults Pull down/back for <3 yrs

Question 26

Otic assessment

Answer 26

Canal patency Integrity of tympanic membrane Drainage

Question 27

Nasal assessment

Answer 27

Patency of nares | Mucous membranes of specific cavity

Question 28

Nasal administration risk

Answer 28

Rebound effect (decongestants)

Question 29

Inhalation administration assessment

Answer 29

Respiratory system Ability to learn Hand strength/coordination

Question 30

Inhalation administration risks

Answer 30

Incomplete absorption due to incorrect administration

Question 31

MDI

Answer 31

Metered dose inhaler

Question 32

MDI inhalation technique

Answer 32

``` Shake inhaler 5-6 times Take deep breaths Hold inhaler in or 2-4 cm from mouth Inhale slowly while depressing canister Don't exhale for 10 seconds ```

Question 33

Use spacer in order to

Answer 33

Increase amount that reaches lungs

Question 34

Vaginal and rectal administration risks

Answer 34

Mucosal perforation

Question 35

Types of vaginal topicals

Answer 35

Suppository Foams Creams

Question 36

How far to administer rectal medications

Answer 36

Adults: 10 cm/4 inches Children: 5 cm/2 inches