Chapter 9 Enteral Administration

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Chapter 9  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

Feedback
A
Aspiration is a risk during enteral feedings in this position.
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.
C
Aspiration is a risk during enteral feedings in this position.
D
This position would prevent gastric emptying and increase the risk of aspiration.

DIF: Cognitive Level: Application REF: 136
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity

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

Feedback
A
Petroleum-based lubricants can harbor bacteria and promote infection.
B
Petroleum-based lubricants can harbor bacteria and promote infection.
C
Water-soluble lubricants should be used with rectal suppository administration. When not available, water can be used to moisten mucosal surfaces.
D
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: 138
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity

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

Feedback
A
Rectal administration bypasses the oral cavity.
B
Rectal administration does not affect the gag reflex or upset the stomach.
C
Rectal administration bypasses the digestive enzymes because the medication is absorbed directly into the bloodstream.
D
Rectal administration bypasses first-pass metabolism.

DIF: Cognitive Level: Knowledge REF: 126
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity

4. Which medications are provided in dried, powdered form compressed into small disks?
A.
Pills
B.
Capsules
C.
Tablets
D.
Lozenges

ANS: C

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

DIF: Cognitive Level: Comprehension REF: 127
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity

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