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?.
"If I crush it, you might experience a stomach ache or indigestion.”
"I will crush it and mix it in some ice cream for you.”.
"That would release all the medication at once, rather than over time.”.
"Stomach acid will inactivate some of the medication if I crush the medication.”.
None
None
The Correct Answer is C
Choice 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.
Choice 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.
Choice C rationale:
Enteric-coated medications are designed to be released slowly over time. Crushing the medication would cause all of the medication to be released at once, which could lead to a higher risk of side effects.
Choice 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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The hand used to hold the inhaler does not affect its effectiveness.
Choice B rationale:
Holding breath allows more medication to reach the lungs.
Choice C rationale:
Waiting 1 minute, not 10, between inhalations allows for better absorption.
Choice D rationale:
Head position does not affect inhalation.
Correct Answer is A
Explanation
Choice A rationale:
The priority nursing action after administering the wrong medication is to assess the client for any adverse effects. This includes checking the client’s vital signs. Therefore, this statement is correct.
Choice B rationale:
Notifying the charge nurse is an important step, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
Choice C rationale:
Documenting an objective description of what has happened in the client’s chart is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
Choice D rationale:
Filling out an occurrence report according to institutional policy is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
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