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:
Propranolol is a beta-blocker and does not typically cause a cough. This is more common with ACE inhibitors.
Choice B rationale:
Propranolol can cause dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position. So, it’s important to sit on the side of the bed before standing up.
Choice C rationale:
Propranolol can lower heart rate, but a heart rate greater than 70/min is normal and not a reason to stop taking the medication.
Choice D rationale:
While regular weight monitoring is important for patients taking medications that can cause fluid retention, propranolol is not typically associated with this side effect.
Correct Answer is B
Explanation
The correct answer is choice B. Peripheral edema of the ankles.
Choice A rationale:
A blood pressure of 148/94 mm Hg is elevated, but it is not an immediate contraindication for administering nifedipine. Nifedipine is often used to treat hypertension.
Choice B rationale:
Peripheral edema is a common side effect of nifedipine and can indicate worsening fluid retention. The nurse should contact the provider to assess the need for adjusting the medication or implementing additional interventions.
Choice C rationale:
A heart rate of 66/min is within the normal range (60-100/min) and does not require immediate action before administering nifedipine.
Choice D rationale:
An increased alkaline phosphatase level can indicate liver or bone disease, but it is not directly related to the administration of nifedipine. However, it should be monitored and discussed with the provider.
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