The nurse is administering a client's medications through a feeding tube. One of the medications is an enteric-coated tablet. Which action would be best for the nurse to take?

Insert a portion of the tablet into the tube and apply gentle pressure.

Consult with the pharmacist about a liquid form of the medication

Dissolve the medication in sterile water and use gravity to administer.

Crush the medication and dilute with water before pouring into the tube.

Answer and Explanation

The Correct Answer is B

A.   Inserting a portion of the tablet into the tube and applying gentle pressure may not ensure proper dissolution, potentially leading to clogging or incomplete administration.
B.   Consulting with the pharmacist about a liquid form of the medication is the best course of action. Enteric-coated tablets are formulated to release the medication in the small intestine, and crushing or dissolving them can alter their effectiveness or cause irritation.
C.   Dissolving the medication in sterile water and using gravity to administer may not adequately address the enteric coating, risking medication inefficacy or irritation.
D.   Crushing the medication and diluting it with water before pouring into the tube is not recommended for enteric-coated tablets, as it may compromise their effectiveness and lead to adverse effects.

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Correct Answer is B

Explanation

A. Macaroni and cheese. Macaroni and cheese can be high in sodium, especially if it's prepared from a boxed mix or includes processed cheese. It is not typically recommended for a low- sodium diet.

B. Turkey salad sandwich. Turkey is a lean protein, and a salad sandwich can be made with low- sodium ingredients such as whole-grain bread, fresh vegetables, and low-sodium mayonnaise or mustard.

C. Bacon, lettuce, and tomato sandwich. Bacon is high in sodium and not suitable for a low- sodium diet. Other ingredients in the sandwich may also contribute to sodium intake, depending on their preparation.
D. Clam chowder. Clam chowder is often high in sodium due to the use of clam juice and added salt in the broth. It is not recommended for a low-sodium diet.

A. Whole wheat bread. B. Chicken. C. Hard salami. D. Cherries.

Correct Answer is C

Explanation

A. Whole wheat bread. Whole wheat bread is not typically high in tyramine and is generally considered a healthy choice. It is unlikely to contribute to migraine headaches triggered by tyramine.
B. Chicken. Chicken is a lean protein source and is not typically associated with high tyramine content. It is unlikely to trigger migraine headaches in individuals sensitive to tyramine.
C. Hard salami. Hard salami is a processed meat product that is high in tyramine and other biogenic amines, which can trigger migraine headaches in susceptible individuals. Eliminating hard salami from the diet may help reduce the occurrence of headaches.
D. Cherries. Cherries are not typically associated with high tyramine content and are often considered beneficial for health due to their antioxidant properties. They are unlikely to trigger migraine headaches in individuals sensitive to tyramine.

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The nurse is administering a client's medications through a feeding tube. One of the medications is an enteric-coated tablet. Which action would be best for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

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