NCLEX-PN
Oral Route Administration ● Administer the medication to the client. ● Stay with the client until the medication is swallowed, as some clients may hold medications in their cheeks rather than swallowing them. Buccal and Sublingual Route Administration ● Put on gloves. ● Place buccal medication between the teeth and the inner cheek, and sublingual medication beneath the tongue. ● Instruct the client not to chew or swallow the medication but rather to let it dissolve. Topical Route Administration ● For topical medications, ensure they are suitable for intact skin or for treating wounds. ● Open the tube or container. ● Place the top upside down on a table to avoid inner cap contamination. ● Don gloves. ● Apply the topical medication to the prescribed area using a gloved hand, tongue depressor, cotton-tipped applicator, or sterile gauze. ● Apply the medication in long, even strokes following hair growth direction when the application area has hair. Transdermal Route Administration ● If needed, remove the old transdermal patch. ● Clean the site with soap and water, ensuring it's dry. ● Put on gloves. ● Measure the prescribed dose onto the patch or strip without allowing it to touch the skin. ● Gently apply the medication against the skin, moving the strip over a 3-inch area without rubbing it in. ● Secure the site with a semipermeable membrane or tape the patch if it lacks adhesive. ● Record the date, time, and your initials on the dressing. Ophthalmic Route Medication Administration ● Don gloves. ● Position the client sitting or supine.
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