Chapter 9: Enteral Administration

Basic Pharmacology For Nurses,15th Edition by Bruce D. Clayton

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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

 

  1. 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

 

  1. 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

 

  1. 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

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