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A rationale: While it’s true that crushing an enteric-coated medication can cause stomach upset, this is not the primary reason for not crushing the medication.

B rationale: Crushing the medication and mixing it with food is not recommended because it would disrupt the enteric coating, leading to rapid absorption of the medication.

D rationale: The enteric coating is designed to protect the medication from stomach acid, so crushing the medication would not necessarily cause it to be inactivated by stomach acid.

A rationale: Montelukast is a leukotriene receptor antagonist used for the prophylaxis and chronic treatment of asthma, not for aborting an ongoing attack.

B rationale: Fluticasone is a corticosteroid used for the long-term management of asthma symptoms, not for immediate relief of an ongoing attack.

C rationale: Cromolyn is a mast cell stabilizer used for the prophylaxis of asthma, not for aborting an ongoing attack.

A rationale: Serum cholesterol is not directly affected by furosemide, a loop diuretic.

B rationale: Serum amylase is not directly affected by furosemide.

D rationale: Serum triglyceride is not directly affected by furosemide.

B rationale: Holding the medication until the client has his evening meal is not appropriate because the client’s potassium level is already high.

C rationale: Giving the medication as prescribed is not appropriate because the client’s potassium level is already high.

D rationale: Obtaining a prescription to increase the dosage of the medication is not appropriate because the client’s potassium level is already high.

A rationale: Pulling the auricle upward and outward is the correct method for adults and children over 3 years old.

B rationale: Pulling the auricle down and outward is not the correct method for any age group.

D rationale: Pulling the auricle upward and backward is not the correct method for children under 3 years old.

A rationale: Migraine is not a contraindication for propranolol. In fact, propranolol is often used to reduce the severity and frequency of migraine headaches.

B rationale: Depression is not a contraindication for propranolol.

C rationale: Glaucoma is not a contraindication for propranolol.

A rationale: Propranolol is a beta-blocker and does not typically cause a cough. This is more common with ACE inhibitors.

C rationale: Propranolol can lower heart rate, but a heart rate greater than 70/min is normal and not a reason to stop taking the medication.

D rationale: While regular weight monitoring is important for patients taking medications that can cause fluid retention, propranolol is not typically associated with this side effect.

 A blood pressure of 148/94 mm Hg is elevated, but it is not an immediate contraindication for administering nifedipine. Nifedipine is often used to treat hypertension.

 A heart rate of 66/min is within the normal range (60-100/min) and does not require immediate action before administering nifedipine.

 An increased alkaline phosphatase level can indicate liver or bone disease, but it is not directly related to the administration of nifedipine. However, it should be monitored and discussed with the provider.

A rationale: The list obtained from the client should include all medications the client is taking, regardless of who prescribed them.

B rationale: The reconciliation process should be completed at each transition of care, not just at admission.

D rationale: Nurses should not write verbal orders for medications. This is the responsibility of the provider.

A rationale: Applying pressure to the tragus of the ear can help move the liquid in deeper. Therefore, this statement is incorrect.

C rationale: Sterile gloves are not necessary when administering ear drops. Therefore, this statement is incorrect.

D rationale: Ear drops should be at room temperature. If they’re too cold or hot, they can make you feel dizzy and disoriented. Therefore, this statement is incorrect.