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 C

Explanation

A. Bread. Plain bread is typically well-tolerated for individuals with cholelithiasis, as it is low in fat.
B. Beef broth. Beef broth is low in fat and should be well-tolerated for someone with cholelithiasis.

C. Ice cream. Ice cream is high in fat and may exacerbate symptoms of cholelithiasis by triggering gallbladder contractions.
D. Ketchup. Ketchup is low in fat and should not pose a significant risk for someone with cholelithiasis.

A. Twenty-four hour food recall, preferences, and allergies. B. Body mass index (BMI) and serum albumin level. C. Weight loss history and body surface area (BSA). D. Triceps skin fold and mid-arm circumference.

Correct Answer is B

Explanation

A. Twenty-four hour food recall, preferences, and allergies. While these can provide useful

information about the client’s dietary habits and potential issues, they do not directly measure nutritional status.
B. Body mass index (BMI) and serum albumin level. BMI gives an indication of body weight relative to height, and serum albumin is a key indicator of protein status and overall nutritional health. Together, they are strong indicators of nutritional status.
C. Weight loss history and body surface area (BSA). Weight loss history is important, but BSA is not typically used to assess nutritional status.
D. Triceps skin fold and mid-arm circumference. These measurements assess body fat and muscle mass, which are useful, but BMI and serum albumin provide a more comprehensive picture of overall nutritional status.

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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

A middle-aged client newly diagnosed with cholelithiasis is choosing the evening meal from the menu. Which food choice should the nurse advise the client to omit?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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