A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

Administer the crushed medication through the NG tube.

Dissolve the medication in water and give it through the NG tube.

Administer the medication under the client’s tongue.

Request a prescription for an oral formulation of the medication.

Answer and Explanation

The Correct Answer is C

The correct answer is choice c. Administer the medication under the client’s tongue.

Choice A rationale:

Administering the crushed medication through the NG tube is inappropriate because sublingual medications are designed to be absorbed through the tissues under the tongue, not the gastrointestinal tract. Crushing and administering it through the NG tube would alter its intended absorption and effectiveness.

Choice B rationale:

Dissolving the medication in water and giving it through the NG tube is also incorrect for the same reasons as Choice A. Sublingual medications are specifically formulated to be absorbed through the mucous membranes under the tongue, and changing the route of administration can affect the drug’s efficacy.

Choice C rationale:

Administering the medication under the client’s tongue is the correct action. Sublingual medications are designed to be absorbed directly into the bloodstream through the tissues under the tongue, bypassing the digestive system and providing rapid onset of action.

Choice D rationale:

While some medications can be safely switched to oral formulations for NG tube administration, such a change is only necessary when the prescribed route (in this case, sublingual) cannot be used. Without contraindications (e.g., inability to hold the medication under the tongue or mucosal issues), the original sublingual route should be followed.

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Correct Answer is C

Explanation

Enteric-coated aspirin is designed to release slowly over time to protect the stomach lining from irritation. Crushing the medication would defeat this purpose and could cause stomach irritation or other side eﬀects.

A. staining of teeth. B. Red-coloured urine. C. Constipation. D. Black-coloured stools

Correct Answer is B

Explanation

Rifampin can cause body ﬂuids such as urine, sweat, saliva, and tears to turn a reddish-orange color. This is a harmless side eﬀect and is not a cause for concern. The nurse should instruct the client to expect this change in color while taking the medication.

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A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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