A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

Crushing the medication would release all the medication at once, rather than over time.

Crushing the medication is a good idea and I can mix it in some soft cream for you.

Crushing the medication might cause you to have stomach-ache or indigestion.

Crushing is unsafe as it destroys the ingredients in the medication.

Answer and Explanation

The Correct Answer is C

Enteric-coated aspirin is designed to release slowly over time to protect the stomach lining from irritation. Crushing the medication would defeat this purpose and could cause stomach irritation or other side eﬀects.

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Correct Answer is D

Explanation

Gout is a type of arthritis caused by a build-up of uric acid crystals in the joints, leading to inﬂammation, pain, and swelling. Allopurinol is a medication used to treat gout by reducing the production of uric acid in the body. It works by inhibiting the enzyme xanthine oxidase, which is responsible for producing uric acid.

Option a, Alprazolam, is a medication used to treat anxiety and panic disorders. It is not used in the treatment of gout.

Option b, Spironolactone, is a medication used to treat high blood pressure, edema, and certain types of hormonal imbalances. It is not used in the treatment of gout.

Option c, Zolpidem, is a medication used to treat insomnia. It is not used in the treatment of gout.

A. Administer the medicine with food. B. Monitor the serum medication levels. C. Limit the client’s ﬂuid intake. D. Instruct the client to report agitation.

Correct Answer is B

Explanation

The correct answer is choiceb. Monitor the serum medication levels.

Choice A rationale:

Administering gentamicin with food is not necessary and does not minimize the risk of adverse effects. Gentamicin is typically given intravenously or intramuscularly, and food does not impact its administration or absorption.

Choice B rationale:

Monitoring the serum medication levels is crucial when administering gentamicin. Gentamicin has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Regular monitoring helps ensure the drug remains within the safe and effective range, reducing the risk of nephrotoxicity and ototoxicity.

Choice C rationale:

Limiting the client’s fluid intake is not recommended. Adequate hydration is important to help prevent nephrotoxicity, a known adverse effect of gentamicin. Ensuring the client has sufficient fluid intake can help protect kidney function.

Choice D rationale:

Instructing the client to report agitation is not directly related to minimizing the risk of adverse effects of gentamicin. While it is important for clients to report any unusual symptoms, agitation is not a common adverse effect of gentamicin. Monitoring for signs of nephrotoxicity (e.g., decreased urine output) and ototoxicity (e.g., hearing loss, tinnitus) is more relevant.

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A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

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Correct Answer is D

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Correct Answer is B

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