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 D

Explanation

A. Cherries and cranberries. These fruits are generally low in potassium and are safe for people with chronic kidney disease (CKD).
B. Apples and blueberries. These fruits are also low in potassium and safe for CKD patients.

C. Carrots and green beans. These vegetables are low in potassium and safe for CKD patients.

D. Avocados and bananas. Both avocados and bananas are high in potassium. Clients with stage 4 CKD need to limit their intake of high-potassium foods to prevent hyperkalemia, which can be dangerous given their impaired kidney function.

A. Provide budgeting strategies. B. Consult with social services. C. Call the client's nearest relative. D. Alert the adult protection agency.

Correct Answer is B

Explanation

A. Provide budgeting strategies. While this can be helpful, it does not address the immediate need for resources and assistance with both medications and food.
B. Consult with social services. Social services can help the client access resources such as food assistance programs, medication assistance programs, and other community resources to ensure the client’s nutritional and medical needs are met.
C. Call the client's nearest relative. This might provide some immediate support, but it is not a comprehensive solution. The relative may not be able to provide the needed resources or may not be in a position to help effectively.
D. Alert the adult protection agency. While this step might be necessary if there is evidence of neglect or abuse, it is not the most appropriate first action in a situation where the client needs assistance with resources.

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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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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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