Clayton’s Basic Pharmacology for Nurses – Chapter 8 (Enteral Administration), 19th Edition | Nursing Q&A Study Guide

Clayton's Basic Pharmacology for Nurses 19th Edition Ch 8
Enteral-Administration Q&A
1. Administration-of-Disposable-Enema-*STEPS*---CORRECT-ANSWER-
i. repeat-same-steps-as-rectal-suppositories
ii. encourage-pt-to-hold-solution-for-30-minutes-before-defecate
iii. assist-pt-with-defecation
iv. tell-pt-do-NOT-flush-the-toilet---document-the-results
v. make-sure-to-place-patient-on-"Left-Lateral"-position-


(EX-of-Disposable-Enema-=-"Fleet-Enema")


2. Administration-of-Rectal-Suppositories-*STEPS*---CORRECT-ANSWER
i. Identifies:-name,-dob,-date-&-time
ii. Explain-procedure.
iii. Check-pt-monitoring-parameters-(vital-signs,-etc)
iv. Have-pt-defecate-prior-to-admin-med-!
v. Provide-privacy.-Position-pt-&-drape-to-avoid-unnecessary-exposure
vi. Have-pt-bend-upper-leg,-toward-the-waist-(EX:-Sims-Position)
vii. if-lube-is-not-avail---Use-Water!-(anything-else-reduces-absorption)
viii. Have-pt-take-a-deep-breath.-Insert-using-index-finger
ix. Pt-MUST-remain-on-side-for-15-20-:-allows-for-absorption


*For-children:-compress-buttocks-gently-&-hold-for-15-20-minutes*


3. Advantage-of-the-rectal-route?---CORRECT-ANSWER-
--bypasses-digestive-enzymes
- avoids-irritation-of-the-mouth,-esophagus,-and-stomach
4. An-obsolete-dose-form-that-is-no-longer-manufactured?---CORRECT-
ANSWER-Pills

, Clayton's Basic Pharmacology for Nurses 19th Edition Ch 8
Enteral-Administration Q&A
5. Assessments-are-to-be-completed-frequently-until-Enteral-Feeding-has-reached-
_________-_________-____-?
(hint:-a-type-of-flow-&-what-are-you-doing-for-the-patient-*Critical-Thinking*-)-
--CORRECT-ANSWER-Prescribed-Maximum-Flow


6. Caplet-are---CORRECT-ANSWER-A-tablet-shaped-like-a-capsule,-containing-a-
solid-inside


7. Capsules-are---CORRECT-ANSWER-small,-cylindrical,-gelatin-container-that-
holds-dry-powder-or-liquid


8. Causes-of-change-in-GI?---CORRECT-ANSWER---food
- emotion
- physical-activity


9. Continuous-Tube-Feeding-*Must-Knows*---CORRECT-ANSWER-
 has-a-disposable-feeding-container-for-8hr-period(store-remaining-
in-fridge)
 formula-MUST-be-at-room-temp-at-time-of-initiation-of-admin
 hang-container-on-IV-pole,-Clear-AIR!
 During-initiation:-rate-is-slow,-then-gradually-increased
 change-equipment-q24hr
10. Drugs-that-are-destroyed-by-digestive-fluids?---CORRECT-ANSWER---insulin
- gentamicin
11. During-initiation-of-feeding,-what-may-be-recorded-q6hr-?---CORRECT-
ANSWER--Blood-Glucose


12. Elixirs---CORRECT-ANSWER