Chapter 08 Enteral Administration

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Chapter 08  Enteral Administration

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. In which position would the nurse place a patient before the administration of an enteral feeding?
a.
Supine
b.
Semi-Fowler’s
c.
Left lateral
d.
Prone

ANS: B
To facilitate gastric emptying, the patient should be placed in a semi-Fowler’s position (30 degree head of bed [HOB] elevation) for 30 minutes before the start of the feeding. Aspiration is a risk during enteral feedings in the supine position and in the left lateral position. The prone position would prevent gastric emptying and increase the risk of aspiration.

DIF: Cognitive Level: Application REF: Page 109 OBJ: 4
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety

2. Which type of lubricant would the nurse use to administer a rectal suppository?
a.
Petroleum jelly
b.
Mineral oil
c.
Water soluble
d.
Anesthetic

ANS: C
Water soluble lubricants should be used with rectal suppository administration. When not available, water can be used to moisten mucosal surfaces. Petroleum-based and oil-based lubricants can harbor bacteria and promote infection. Unless the patient has pain in the rectal area (in which case another route of administration should be considered), anesthetic should not be required.

DIF: Cognitive Level: Knowledge REF: Page 111 OBJ: 5
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety

3. Which is a characteristic of medication administration via the rectal route?
a.
Irritation of the mouth
b.
Nausea and vomiting
c.
Bypassing of the digestive enzymes
d.
Use of the first pass metabolism

ANS: C
Rectal administration bypasses the digestive enzymes because the medication is absorbed directly into the bloodstream. Rectal administration bypasses the oral cavity and does not affect the gag reflex or upset the stomach. Rectal administration bypasses first pass metabolism.

DIF: Cognitive Level: Knowledge REF: Page 100 OBJ: 5
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Nutrition

4. Which medications are provided in dried, powdered form compressed into small disks?
a.
Pills
b.
Capsules
c.
Tablets
d.
Lozenges

ANS: C
Tablets are dried, powdered drugs that have been compressed into small disks. Pills are an obsolete dose form that is no longer manufactured as a result of the development of capsules and compressed tablets. Capsules are small cylindrical gelatin containers that hold dry powder or liquid medicine. Lozenges are small aromatic medicated candies, such as cough drops.

DIF: Cognitive Level: Comprehension REF: Page 101 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety

5. Which action by the nurse is appropriate when administering enteric coated tablets?
a.
Administer with an antacid.
b.
Crush the tablet and mix with applesauce.
c.
Encourage the patient to drink a full glass of water.
d.
Instruct the patient to place the medication between the cheek and teeth.

ANS: C
Drinking a full glass of water ensures the medication reaches the stomach and is diluted to decrease the potential for irritation. Administering with an antacid would alter the dissolution of the enteric coated tablet because it has a coating that resists dissolution in the acidic pH of the stomach but is dissolved in the intestines. Enteric coated tablets must not be crushed and must be swallowed.

DIF: Cognitive Level: Application REF: Page 101 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety

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