A nurse is administering a medication that is formulated as enteric-coated tablets. What is the rationale for not crushing or chewing enteric-coated tablets?

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Medication Administration NCLEX Questions Questions

Question 1 of 5

A nurse is administering a medication that is formulated as enteric-coated tablets. What is the rationale for not crushing or chewing enteric-coated tablets?

Correct Answer: D

Rationale: Enteric coatings protect the stomach from irritation and ensure the drug is absorbed in the intestines, so they must not be crushed.

Question 2 of 5

The new pediatric nurse has just given a suppository to a 5-year-old boy. He has a bowel movement 7 minutes post administration. Which action should the nurse take next?

Correct Answer: B

Rationale: Examining the stool determines if the suppository was expelled before absorption. This guides whether a repeat dose is needed, after consulting the physician.

Question 3 of 5

A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?

Correct Answer: A

Rationale: Children up to 3 years of age should have the auricle pulled down and back, children 3 years of age to adults should have the auricle pulled upward and outward. Solution should be instilled 1 cm (1/2 in) above the opening of the ear canal. The patient should remain in the side-lying position 2 to 3 minutes. If a cotton ball is needed, place it into the outermost part of the ear canal.

Question 4 of 5

The nurse is planning to administer a tuberculin test with a 27-gauge, 5/8-inch needle. At which angle will the nurse insert the needle?

Correct Answer: A

Rationale: A 27-gauge, 5/8-inch needle is used for intradermal injections such as a tuberculin test, which should be inserted at a 5- to 15-degree angle, just under the dermis of the skin. Placing the needle at 30, 45, or 90 degrees will place the medication too deep.

Question 5 of 5

A patient needs assistance in eliminating an anesthetic gaseous medication (nitrous oxide). Which action will the nurse take?

Correct Answer: A

Rationale: Gaseous and volatile medications are excreted through gas exchange (lungs). Deep breathing and coughing will assist in clearing the medication more quickly. It is a gaseous medication and cannot be suctioned out of the lungs. It is not excreted through the kidneys, so fluids and voiding will not help.

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