The nurse is administering a client's medications through a feeding tube. One of the medications is an enteric-coated tablet. Which action would be best for the nurse to take?

Insert a portion of the tablet into the tube and apply gentle pressure.

Consult with the pharmacist about a liquid form of the medication

Dissolve the medication in sterile water and use gravity to administer.

Crush the medication and dilute with water before pouring into the tube.

Answer and Explanation

The Correct Answer is B

A.   Inserting a portion of the tablet into the tube and applying gentle pressure may not ensure proper dissolution, potentially leading to clogging or incomplete administration.
B.   Consulting with the pharmacist about a liquid form of the medication is the best course of action. Enteric-coated tablets are formulated to release the medication in the small intestine, and crushing or dissolving them can alter their effectiveness or cause irritation.
C.   Dissolving the medication in sterile water and using gravity to administer may not adequately address the enteric coating, risking medication inefficacy or irritation.
D.   Crushing the medication and diluting it with water before pouring into the tube is not recommended for enteric-coated tablets, as it may compromise their effectiveness and lead to adverse effects.

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Correct Answer is D

Explanation

A. Urinary ketones are incorrect. Urinary ketones are more relevant in clients with diabetes or starvation states, but monitoring capillary glucose is more important in clients on TPN, as they may experience fluctuations in blood sugar levels.
B. Serum protein is incorrect. While serum protein is important for assessing nutritional status, capillary glucose is more critical for monitoring during TPN administration.
C. Serum osmolarity is incorrect. Serum osmolarity is important to assess fluid and electrolyte balance, but capillary glucose is more frequently monitored due to the risk of hyperglycemia in TPN patients.
D. Capillary glucose is correct. TPN contains high levels of glucose, and monitoring capillary glucose is critical to detect hyperglycemia and adjust the infusion rate or insulin therapy accordingly.

A. Provide budgeting strategies. B. Consult with social services. C. Call the client's nearest relative. D. Alert the adult protection agency.

Correct Answer is B

Explanation

A. Provide budgeting strategies. While this can be helpful, it does not address the immediate need for resources and assistance with both medications and food.
B. Consult with social services. Social services can help the client access resources such as food assistance programs, medication assistance programs, and other community resources to ensure the client’s nutritional and medical needs are met.
C. Call the client's nearest relative. This might provide some immediate support, but it is not a comprehensive solution. The relative may not be able to provide the needed resources or may not be in a position to help effectively.
D. Alert the adult protection agency. While this step might be necessary if there is evidence of neglect or abuse, it is not the most appropriate first action in a situation where the client needs assistance with resources.

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The nurse is administering a client's medications through a feeding tube. One of the medications is an enteric-coated tablet. Which action would be best for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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