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. Recommend an increase in caloric intake to avoid excessive weight loss. B. Reassure the parents that increased physical activity reduces the risk for diabetes. C. Suggest a less strenuous activity to reduce the risk for dehydration. D. Instruct the family about the need to adjust the insulin dose before exercise.

Correct Answer is B

Explanation

A. Recommend an increase in caloric intake to avoid excessive weight loss. While regular physical activity can increase caloric expenditure, it is not typically associated with excessive weight loss, especially in children. Prediabetes management focuses on lifestyle changes such as increased physical activity and healthy eating habits rather than increasing caloric intake.
B. Reassure the parents that increased physical activity reduces the risk for diabetes. Regular physical activity is beneficial for individuals with prediabetes as it improves insulin sensitivity, helps control weight, and reduces the risk of developing type 2 diabetes.
C. Suggest a less strenuous activity to reduce the risk for dehydration. Soccer can be a physically demanding sport, but proper hydration practices can help prevent dehydration. Encouraging the child to drink plenty of fluids before, during, and after soccer practice or games can help
maintain hydration levels.

D. Instruct the family about the need to adjust the insulin dose before exercise. Prediabetes typically does not require insulin therapy. However, if the child progresses to diabetes and requires insulin, adjustments to insulin doses may be necessary to prevent hypoglycemia during exercise, but this is not relevant to the current scenario.

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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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