Chapter 9: Enteral Administration

Chapter 9: 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?

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