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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1","610"]
Explanation
Coffee: 8 oz × 30 mL/oz = 240 mL
Juice: 3 oz × 30 mL/oz = 90 mL
Soda: 12 oz × 30 mL/oz = 360 mL
Water consumed: 800 mL - 200 mL = 600 mL
IV fluids: 40 mL/hr × 8 hr = 320 mL
Total intake = Coffee + Juice + Soda + Water consumed + IV fluids
Total intake = 240 mL + 90 mL + 360 mL + 600 mL + 320 mL = 1,610 mL
Correct Answer is B
Explanation
A. “I will hold the inhaler with my non-dominant hand." The inhaler should be held with the dominant hand for better control and coordination.
B. "I will hold my breath at least 10 seconds after inhaling the medication." Holding the breath for 10 seconds helps the medication to be absorbed effectively in the lungs.
C. "I will wait 10 min between each inhalation." The standard recommendation is to wait about 1 minute between inhalations to allow the first dose to work before administering the second.
D. "I will tilt my head forward while inhaling the medication." The head should be tilted slightly back to allow for better aerosol delivery into the lungs.
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