Chapter 08: Enteral Administration

Chapter 08: Enteral Administration

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. In which position would the nurse place a patient before the administration of an enteral feeding?

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?

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?

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?

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