Administration Of A Suppository
What is the primary purpose of a rectal suppository?
To cure infections only
To deliver medication via the lungs
To deliver medication orally
To improve hearing
To deliver medication through rectal absorption
What is the correct patient position for administering a rectal suppository?
Supine
Prone
Fowler's position
Knee-chest
Left lateral (Sims') position
Before administering a suppository, what must the nurse do first?
Check the IV site
Offer a glass of water
Review bowel history
Administer oral medication
Perform hand hygiene and check prescription
Which PPE is essential during suppository administration?
Mask only
Gown only
Apron and goggles only
Gloves only
Gloves and apron
Why should you lubricate the suppository before insertion?
To reduce body temperature
To prevent the patient from absorbing it
To increase absorption
To reduce friction and ease insertion
To harden the suppository
What is the recommended depth for inserting an adult rectal suppository?
0.5 cm
1 cm
2 cm
3 cm
Approximately 4 cm to 5 cm
What should you do after inserting the suppository?
Ask the patient to stand
Encourage immediate ambulation
Leave the patient prone
Stay with the patient for 30 minutes
Ask the patient to remain lying down for a few minutes
Which of the following is a contraindication for rectal suppository administration?
Constipation
Anal fissures
Headache
Fever
Hypertension
What is the function of the mucosa in rectal medication absorption?
To block drug absorption
To cause peristalsis
To digest the medication
To slow absorption
To absorb the drug directly into the bloodstream
How should you check the identity of a patient before administering a suppository?
Ask their favorite colour
Assume based on bed chart
Ask the patient’s name and DOB and check wristband
Ask their family
Use room number
What should be done if the suppository is accidentally dropped before use?
Wipe and reuse it
Wash and reinsert it
Use it after checking with a senior
Use another one and dispose of the dropped one
Insert it quickly before it melts
What is the main reason for using non-dominant hand to separate the buttocks?
To show you are ambidextrous
To make the patient more uncomfortable
To avoid contamination of dominant hand
To rest your dominant hand
To ensure proper hand hygiene
If the patient asks why the medication can’t be given orally, what’s the best response?
“It’s cheaper this way.”
“You’ll get used to it.”
“It’s for practice.”
“It’s a faster way to absorb certain medications.”
“There are no oral forms of any drug.”
Why should the suppository be inserted past the internal anal sphincter?
To make the patient feel it
To trigger defecation
To ensure it stays in place and is absorbed
To reduce pain
To dissolve faster in the rectum
What documentation is required after administration?
Only patient’s name
Date and time only
Only dose and route
Full medication chart entry including time, dose, route, and signature
Just initials on a post-it
What is a common side effect of rectal suppositories?
Toothache
Hallucinations
Rectal bleeding
Anal itching and mild discomfort
Migraine
Why must a suppository not be split unless scored?
Because it may explode
Because it’s illegal
Because the medication may not be evenly distributed
Because it becomes oral
Because it smells bad
If a patient is unable to retain the suppository, what should be done?
Force another one
Ignore and document as given
Document and inform the prescriber
Wait and retry in 5 minutes
Give double dose
Which technique best protects the patient’s dignity during the procedure?
Leave the curtain open
Invite another patient to observe
Close the curtain and expose only necessary areas
Ask the family to watch
Make jokes for distraction
What should the nurse do before disposing of gloves and apron?
Wash gloves in the sink
Flush them
Shake hands with patient
Wipe gloves on uniform
Remove carefully and perform hand hygiene
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