A nurse is administering an enteric-coated medication to an adult client who has right-sided weakness and is having difficulty swallowing tablet. Which of the following actions should the nurse take?
Administer the tablet to the client with applesauce.
Position the client at a 45 angle
Crush the tablet and mix it in pudding for the client.
Instruct the client to tilt their head back when swallowing
The Correct Answer is A
A. Administer the tablet to the client with applesauce: Administering the tablet with a small amount of soft food like applesauce can help facilitate swallowing without altering the integrity of the enteric coating. This method eases the swallowing process while ensuring the medication is delivered properly.
B. Position the client at a 45-degree angle: Clients who have difficulty swallowing should be positioned in an upright 90-degree sitting position, not at 45 degrees, to reduce the risk of aspiration and promote safer swallowing mechanics.
C. Crush the tablet and mix it in pudding for the client: Enteric-coated tablets should never be crushed, as crushing destroys the protective coating designed to prevent the medication from being released in the stomach, potentially causing irritation or reducing drug effectiveness.
D. Instruct the client to tilt their head back when swallowing: Tilting the head back increases the risk of choking and aspiration, especially in clients with swallowing difficulties. It is safer to encourage tucking the chin slightly down when swallowing to help protect the airway.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Demonstrate to the client how to use the signaling device: Teaching the client how to use the call light is the priority because it ensures they can easily ask for assistance, especially with limited mobility. Immediate access to help reduces the risk of falls, injury, and delays in meeting urgent needs.
B. Explain the facility's meal schedule: While it is important for the client to know when meals are served, this information does not impact their immediate safety or ability to get assistance when needed, making it a lower priority than teaching about the call light.
C. Demonstrate to the client how to use the television: Teaching about the television promotes comfort but is nonessential for safety or urgent needs. Comfort measures can be addressed after critical safety interventions have been completed.
D. Explain the medication administration schedule: Understanding medication schedules is important for client education and adherence, but ensuring the ability to call for help is more immediately critical, especially in a client with limited mobility.
Correct Answer is D
Explanation
A. Fidelity: Fidelity refers to the responsibility to maintain trust and uphold promises made to clients. While important, the core issue in this case is not about fulfilling prior commitments but rather about responding truthfully to a direct question from the adolescent regarding their medical condition.
B. Authority: Authority is the recognized power to make decisions or enforce obedience, typically within a professional or legal framework. In this situation, the ethical dilemma is not related to decision-making power but centers on the nurse's obligation to provide honest communication.
C. Justice: Justice emphasizes fairness and equitable treatment of all clients in healthcare settings. Although justice is critical to ethical practice, the specific challenge here involves answering truthfully when asked about a relapse, rather than issues of equitable treatment or distribution of care.
D. Veracity: Veracity demands honesty and transparency when communicating with clients about their health. When the adolescent directly questions the nurse about their medical status, veracity obligates the nurse to provide truthful and accurate information, respecting the client's right to know.
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