A nurse is preparing to administer enteric-coated aspirin to an older adult client who had a cerebrovascular accident and has difficulty swallowing medications. The client asks the nurse if she will crush the medication to make it easier to swallow. Which of the following responses should the nurse make?

"Stomach acid will inactivate some of the medication if I crush the medication."

"If I crush it you might experience a stomach ache or indigestion."

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

"I will crush it and mix it in some ice cream for you."

Answer and Explanation

The Correct Answer is C

A. "Stomach acid will inactivate some of the medication if I crush the medication." The purpose of the enteric coating is to protect the stomach lining from irritation, not to prevent inactivation by stomach acid.

B. "If I crush it you might experience a stomach ache or indigestion." While it’s true that crushing may cause stomach discomfort, the primary concern is that it would bypass the enteric coating.

C. "That would release all the medication at once, rather than over time." Crushing enteric-coated aspirin would cause the medication to be released all at once, potentially leading to side effects and reducing its intended effectiveness.

D. "I will crush it and mix it in some ice cream for you." Crushing enteric-coated medications is contraindicated, and it could cause harm.

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Correct Answer is B

Explanation

A. Withhold the digoxin dose for elevated BP: Elevated BP is not a contraindication for digoxin administration; rather, the heart rate is the critical factor.

B. Withhold the digoxin dose for decreased heart rate. A heart rate below 60 beats per minute is a contraindication for administering digoxin, as it can increase the risk of toxicity and bradycardia.

C. Administer digoxin 0.25 mg. Given the heart rate of 54/min, the nurse should not administer the full dose.

D. Administer digoxin 0.125 mg. While 0.125 mg may be appropriate in some cases, the heart rate should first be assessed to determine if the medication should be administered at all.

A. "I might notice a decrease in my blood sugar while taking this medication." B. "I should expect to feel hungrier while on this medication." C. "I might have a fever while taking this medication." D. "This medication can cause ringing in my ears."

Correct Answer is B

Explanation

A. "I might notice a decrease in my blood sugar while taking this medication." Prednisone can cause an increase in blood sugar levels, not a decrease.

B. "I should expect to feel hungrier while on this medication." Corticosteroids like prednisone can increase appetite, leading to potential weight gain.

C. "I might have a fever while taking this medication." While corticosteroids can affect immune function, they are not typically associated with causing fever directly.

D. "This medication can cause ringing in my ears." Ringing in the ears (tinnitus) is not a common side effect of prednisone.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily for heart failure. The client's current vital signs are: BP 144/96, heart rate 54/min, respirations 18/min, and temperature 37° C (98.6° F). Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for prednisone. Which of the following statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has a new prescription for warfarin. The nurse should use the results of which of the following diagnostic tests to monitor the effect of this therapy?

A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?

A nurse is preparing to administer diazepam 3 mg IM. The amount available is diazepam for injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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A nurse administers the wrong medication to a client. Which of the following actions should the nurse take first?