C HAPTER 08: E NTERAL A DMINISTRATION
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. 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 ensur es 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: p. 104 OBJ: 1
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y
2. Which route of administration would be ordered by the healthcare provider
if a patient is vomiting?
, a. Gastrostom y tube
b. Intradermal
c. Ophthalmic
d. Rectal
ANS: D
The rectal route is a good alternative when nausea o r vomiting is present.
Gastrostom y is used for patients who cannot swallow or have had oral
surgery; drugs administered by this route would be placed in the
gastrointestinal tract and are inappropriate for the patient with vomiting.
Intradermal routes are used for allergy testing. Ophthalmic medications are
for use in the eye.
DIF: Cognitive Level: Comprehension REF: p. 103 OBJ: 1 |
5
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y
3. Which action will the nurse take first after entering the patient ’s room to
administer oral medications?
a. Assist the patient to sit upright.
b. Check the patient ’s identification.
c. Inform the patient about the medications.
d. Offer the patient som ething to drink.
ANS: B
Checking the patient ’s identification is the first nursing action once at the
bedside. Assisting the patient to sit upright is appropriate when administering
oral medications, but this is not the first thing the nurse would do. P roviding
information about medications is appropriate, but it is not the first thing the
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. 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 ensur es 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: p. 104 OBJ: 1
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y
2. Which route of administration would be ordered by the healthcare provider
if a patient is vomiting?
, a. Gastrostom y tube
b. Intradermal
c. Ophthalmic
d. Rectal
ANS: D
The rectal route is a good alternative when nausea o r vomiting is present.
Gastrostom y is used for patients who cannot swallow or have had oral
surgery; drugs administered by this route would be placed in the
gastrointestinal tract and are inappropriate for the patient with vomiting.
Intradermal routes are used for allergy testing. Ophthalmic medications are
for use in the eye.
DIF: Cognitive Level: Comprehension REF: p. 103 OBJ: 1 |
5
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y
3. Which action will the nurse take first after entering the patient ’s room to
administer oral medications?
a. Assist the patient to sit upright.
b. Check the patient ’s identification.
c. Inform the patient about the medications.
d. Offer the patient som ething to drink.
ANS: B
Checking the patient ’s identification is the first nursing action once at the
bedside. Assisting the patient to sit upright is appropriate when administering
oral medications, but this is not the first thing the nurse would do. P roviding
information about medications is appropriate, but it is not the first thing the
