A nurse is preparing to administer enteric-coated aspirin to an older adult client who had a cerebrovascular accident and has difficulty swallowing medications. The client asks the nurse if she will crush the medication to make it easier to swallow. Which of the following responses should the nurse make?

"Stomach acid will inactivate some of the medication if I crush the medication."

"If I crush it you might experience a stomach ache or indigestion."

"That would release all the medication at once, rather than over time."

"I will crush it and mix it in some ice cream for you."

Answer and Explanation

The Correct Answer is C

A. "Stomach acid will inactivate some of the medication if I crush the medication." The purpose of the enteric coating is to protect the stomach lining from irritation, not to prevent inactivation by stomach acid.

B. "If I crush it you might experience a stomach ache or indigestion." While it’s true that crushing may cause stomach discomfort, the primary concern is that it would bypass the enteric coating.

C. "That would release all the medication at once, rather than over time." Crushing enteric-coated aspirin would cause the medication to be released all at once, potentially leading to side effects and reducing its intended effectiveness.

D. "I will crush it and mix it in some ice cream for you." Crushing enteric-coated medications is contraindicated, and it could cause harm.

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Free Nursing Study Resources

Correct Answer is ["0.6"]

Explanation

Amount prescribed: 3 mg
Amount available: 5 mg/mL
mL needed = Amount prescribed / Amount available = 3 mg / 5 mg/mL = 0.6 mL.

A. Orange juice B. Cheese C. Milk D. Antacids containing magnesium

Correct Answer is A

Explanation

A. Orange juice. Orange juice is high in vitamin C, which enhances the absorption of iron in the gastrointestinal tract.

B. Cheese: Dairy products, including cheese, can inhibit iron absorption due to the calcium content.

C. Milk: Similar to cheese, milk contains calcium, which can interfere with the absorption of iron.

D. Antacids containing magnesium: Antacids can decrease the absorption of iron, so they should not be taken together.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer diazepam 3 mg IM. The amount available is diazepam for injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.6"]

Explanation

A nurse is assisting with teaching a class about medication interactions. The nurse should include that iron preparations should be administered with which of the following?

Correct Answer is A

Explanation

A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg/tablet. How many tablets should the nurse administer per dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

A nurse administers the wrong medication to a client. Which of the following actions should the nurse take first?

A nurse is preparing a medication for a client and is converting grams to milligrams. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who has a prescription for oral suspension phenytoin. Which of the following information should the nurse include in the teaching?

A nurse is assisting in preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following transcription examples should the nurse use?