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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Taco salad, refried beans, low-fat ice cream, and coffee. This meal may contain high levels of sodium, particularly in the taco salad and refried beans, which could exacerbate the client's
elevated serum sodium level.

B. Canned cream of mushroom soup, tuna salad, and water. This meal likely has a lower sodium content compared to the other options, as long as the canned cream of mushroom soup is chosen with a low-sodium option. Tuna salad can be prepared with low-sodium ingredients, and water is sodium-free.
C. Chicken salad on toast, fruit-flavored yogurt, and iced tea. Chicken salad and fruit-flavored yogurt can contain hidden sources of sodium, especially if they are commercially prepared or contain added sauces or flavorings. Iced tea may also contain sodium, depending on how it is prepared.
D. Bacon, lettuce, and tomato sandwich, grapes, and skim milk. Bacon is typically high in sodium, which would not be advisable for someone with elevated serum sodium levels. Skim milk and grapes are generally low in sodium, but the sandwich could significantly contribute to the client's sodium intake.

A. Determine pH value of specimen. B. Send fluid specimen to the laboratory. C. Withdraw the NGT and reinsert. D. Connect the NGT to wall suction.

Correct Answer is B

Explanation

A. Determine pH value of specimen. While pH testing can help confirm gastric placement of the NGT, the appearance of cloudy green fluid suggests a different issue that should be addressed first.
B. Send fluid specimen to the laboratory. Cloudy green fluid aspirated from the NGT suggests possible infection or contamination and should be sent to the laboratory for analysis to determine the presence of pathogens or other abnormalities.
C. Withdraw the NGT and reinsert. This may be necessary if placement is incorrect, but the cloudy green fluid suggests a potential issue beyond placement.
D. Connect the NGT to wall suction. Suctioning should not be initiated until the nature of the aspirated fluid is determined. If the fluid is infected, suctioning it could spread pathogens or cause further complications.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 client has a serum sodium level of 155 mEq/L (155 mmol/L). The nurse should encourage the client to make which selection from the lunch menu? Reference Range: Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]

Correct Answer is B

Explanation

While assessing placement of a nasogastric tube (NGT), the nurse aspirates cloudy green fluid into a syringe. Which intervention should the nurse implement?

Correct Answer is B

Explanation

The nurse is caring for a client admitted with chronic kidney disease advancing to stage 4. The nurse should instruct the client to limit the ingestion of which type of foods?

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?

A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?

Which meal selection by a client who is lacto-ovo-vegetarian indicates to the nurse that the client understands the use of complete proteins in the diet?

The nurse is performing a nutritional assessment on a client who is a professional dancer. Which issue reported by the client should alert the nurse to perform further assessment?

A client is discharged from the intensive care unit following a myocardial infarction, and the healthcare provider prescribes a low-sodium diet. Which lunch selection indicates to the nurse that this client understands the dietary restrictions?

A client who has migraine headaches wants to decrease the intake of foods high in tyramine to see if that will reduce the occurrence of headaches. Which food should the nurse recommend that the client eliminate?