A nurse is preparing to administer an enteric-coated oral medication to a client who is having difficulty swallowing.
Which of the following actions should the nurse take?

Instruct the client to chew the medication.

Place the medication on the client's tongue.

Dissolve the medication in juice.

Place the medication between the client's cheek and gum.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Instructing the client to chew the medication is not recommended for enteric-coated tablets as it could result in stomach upset or damage to the protective coating.

Choice B rationale:

Placing the medication on the client’s tongue allows for easier swallowing without compromising the integrity of the enteric coating.

Choice C rationale:

Dissolving the medication in juice is not recommended as it could damage the enteric coating and result in stomach upset.

Choice D rationale:

Placing the medication between the client’s cheek and gum is not typically recommended for enteric-coated tablets as it could result in discomfort or damage to the protective coating.

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Correct Answer is D

Explanation

Choice A rationale:

Oxycodone overdose typically results in constricted (not dilated) pupils due to its action on the central nervous system.

Choice B rationale:

Oxycodone overdose can cause respiratory depression, leading to slow and shallow breathing (bradypnea), not rapid breathing (tachypnea)

Choice C rationale:

Oxycodone does not typically cause tachycardia. It can cause bradycardia due to its action on the central nervous system.

Choice D rationale:

Sedation is a common effect of oxycodone and can be more pronounced in cases of overdose due to the drug’s depressant effect on the central nervous system.

A. Pinch the tube while connecting the syringe to it. B. Elevate the head of the client's bed to 10°. C. Flush the tube with normal saline following medication administration. D. Combine crushed medications together in a single syringe.

Correct Answer is C

Explanation

Choice A rationale:

Pinching the tube while connecting the syringe to it could potentially damage the tube and does not aid in medication administration.

Choice B rationale:

Elevating the head of the client’s bed to only 10° may increase the risk of aspiration. The head of the bed should be elevated to at least 30° during medication administration and for at least an hour afterward.

Choice C rationale:

Flushing the tube with normal saline following medication administration helps ensure that all medication has been administered and helps maintain tube patency.

Choice D rationale:

Combining crushed medications together in a single syringe can lead to drug interactions and can also increase the risk of tube clogging. Each medication should be administered separately.

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A nurse is preparing to administer an enteric-coated oral medication to a client who is having difficulty swallowing.Which of the following actions should the nurse take?

Nursing Test Bank

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A nurse is preparing to administer an enteric-coated oral medication to a client who is having difficulty swallowing.
Which of the following actions should the nurse take?