A nurse is preparing to administer an enteric-coated oral medication to a client who is having difficulty swallowing.
Which of the following actions should the nurse take?

Instruct the client to chew the medication.

Place the medication on the client's tongue.

Dissolve the medication in juice.

Place the medication between the client's cheek and gum.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Instructing the client to chew the medication is not recommended for enteric-coated tablets as it could result in stomach upset or damage to the protective coating.

Choice B rationale:

Placing the medication on the client’s tongue allows for easier swallowing without compromising the integrity of the enteric coating.

Choice C rationale:

Dissolving the medication in juice is not recommended as it could damage the enteric coating and result in stomach upset.

Choice D rationale:

Placing the medication between the client’s cheek and gum is not typically recommended for enteric-coated tablets as it could result in discomfort or damage to the protective coating.

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Correct Answer is A

Explanation

Choice A rationale:

Renal excretion time slows for medication. As people age, kidney function gradually decreases, which slows the excretion of medications. This can lead to increased levels of the drug in the body, which can increase the risk of side effects.

Choice B rationale:

Hepatic enzymes do not process medications more rapidly in older adults. In fact, liver function also decreases with age, which can slow the metabolism of medications.

Choice C rationale:

Brain receptors do not become less sensitive to medications in older adults. The sensitivity of brain receptors to medications can vary widely and is not necessarily related to age.

Choice D rationale:

Gastric emptying rate does not increase with age. On the contrary, it often slows down, which can affect the absorption of some medications.

A. Positive Chvostek's sign. B. Pitting pedal edema. C. Decreased deep-tendon reflexes. D. Decreased blood glucose level.

Correct Answer is D

Explanation

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A nurse is preparing to administer an enteric-coated oral medication to a client who is having difficulty swallowing.
Which of the following actions should the nurse take?