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 A

Explanation

Choice A rationale:

Administering an IV fluid bolus can help increase blood volume and thus increase blood pressure, which can alleviate symptoms of dizziness and lightheadedness. This is a common side effect of ramipril, especially after the first dose.

Choice B rationale:

Naloxone is an opioid antagonist and is not relevant in this context. It’s used to reverse the effects of opioid overdose, not to treat symptoms associated with antihypertensive medications.

Choice C rationale:

Diphenhydramine is an antihistamine used to treat allergic reactions or insomnia, not symptoms associated with antihypertensive medications.

Choice D rationale:

Administering 15 g of carbohydrates would be appropriate for a hypoglycemic patient, not for a patient experiencing dizziness and lightheadedness due to antihypertensive medication.

A. Respiratory rate 10/min. B. Facial flushing. C. Constipation. D. Blood pressure 88/56 mm Hg.

Correct Answer is A

Explanation

Choice A rationale:

A respiratory rate of 10/min is lower than the normal range (12-20 breaths per minute for adults), indicating respiratory depression, which is a serious side effect of morphine and should be reported immediately.

Choice B rationale:

Facial flushing is a common side effect of morphine due to histamine release but it’s not life-threatening.

Choice C rationale:

Constipation is a common side effect of morphine and can be managed with laxatives and diet.

Choice D rationale:

Blood pressure 88/56 mm Hg is lower than the normal range (90/60mmHg to 120/80mmHg), indicating hypotension, which can be a side effect of morphine but it’s not as immediately life-threatening as respiratory depression.

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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

Naxlex Comprehensive Predictor Exams

A nurse is administering the first dose of ramipril to a client who has hypertension.The client reports feeling dizzy and lightheaded.Which of the following should the nurse administer?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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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?