A nurse is giving an enteral medication. The patient asks why this method is preferable for this drug. How will the nurse reply?
This route allows more rapid absorption of the drug
This route prevents inactivation of the drug by digestive enzymes
This route is the best way to control serum drug levels
This route is safer, less expensive, and more convenient
The Correct Answer is D
Choice A reason: Enteral (oral) administration typically has slower absorption than intravenous routes due to first-pass metabolism in the liver and variable gastric emptying. While effective for many drugs, it’s not faster than parenteral routes, making this choice incorrect for describing the primary advantage of enteral administration.
Choice B reason: Some enteral drugs are inactivated by digestive enzymes or liver metabolism (first-pass effect), not prevented. Special formulations (e.g., enteric-coated) may protect drugs, but this isn’t a general advantage of the enteral route, which often faces enzymatic degradation, making this choice inaccurate.
Choice C reason: Enteral administration does not offer superior control of serum drug levels compared to intravenous routes, which provide precise dosing and immediate bioavailability. Oral drugs face variable absorption and first-pass metabolism, leading to less predictable levels, making this choice incorrect for enteral benefits.
Choice D reason: Enteral administration is safer (avoids injection risks like infection), less expensive (no need for sterile equipment), and more convenient (self-administered at home). These advantages make it preferable for many drugs, aligning with patient compliance and cost-effectiveness, making this the correct choice for the nurse’s response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Meperidine, an opioid, crosses the placenta, risking neonatal respiratory depression. Monitoring breathing is critical post-delivery, making this the correct observation for the infant.
Choice B reason: Hypothyroidism is not associated with meperidine exposure. Opioids primarily affect respiration, so this is irrelevant and incorrect for the expected effect.
Choice C reason: Tremors and hyperreflexia are not typical meperidine effects in newborns; respiratory depression is the primary concern. This is incorrect for the nurse’s focus.
Choice D reason: Congenital anomalies result from chronic exposure, not acute labor analgesia. Meperidine’s immediate risk is respiratory, so this is incorrect for monitoring.
Correct Answer is A
Explanation
Choice A reason: Montelukast can cause mood changes or neuropsychiatric effects in children. Recognizing this side effect and notifying the pediatrician shows understanding, making this the correct statement.
Choice B reason: Montelukast is a daily maintenance drug, not for acute wheezing, which requires albuterol. This misunderstanding of its use makes it incorrect for proper administration.
Choice C reason: Montelukast controls asthma symptoms but does not cure asthma, a chronic condition. This incorrect belief about its purpose makes it wrong for understanding the medication.
Choice D reason: Montelukast is dosed once daily, typically at bedtime, not twice daily. This dosing error indicates a lack of understanding, making it incorrect for the parent’s statement.
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