Deck 12: Enteral Routes

Question 1

When using an oral syringe

A) draw the medication to the desired line for administration
B) squirt the medication into the mouth rapidly to prevent the person from experiencing any distaste that may occur
C) wash the syringe immediately after use
D) a and c
E) all of the above

Answer 1

a and c

Question 2

Usually, which of the following oral medication tablets may be crushed?

A) enteric-coated
B) timed-release
C) effervescent
D) scored
E) sustained-release

Answer 2

effervescent

Question 3

When administering rectal medications

A) remove the medication from the wrapper
B) place adult patients in the Sims position
C) lubricate the suppository with either water or water-soluble jelly
D) gently push the suppository past the rectal sphincter
E) all of the above

Answer 3

all of the above

Question 4

Oral medication administration does not require patient education.

Question 5

Rectal medications may be

A) suppositories
B) enemas
C) creams
D) ointments
E) all of the above

Question 6

The oral route of medication administration is preferred because of which of the following EXCEPT

A) safety
B) ease of administration
C) the best acceptance generally
D) length of time for absorption
E) all of the above are reasons to use the oral route

Question 7

When administering liquid oral medications

A) read just below the meniscus
B) hold the medicine cup at eye level to measure the medication
C) keep the medicine cup on the counter while pouring and reading the dose
D) a and b
E) a and c

Question 8

The forms of medication for oral consumption include all of the following EXCEPT

A) tablets and capsules
B) suppositories
C) powders
D) solutions and syrups
E) elixirs and suspensions

Question 9

When giving enteral medications, the 3 "befores" and 7 "rights" are important.

Question 10

Which of the following is not true of oral medication administration?

A) If the medication has a potential to stain teeth, it should be administered with a straw.
B) Effervescent tablets should be taken as soon as the medication has dissolved in the liquid.
C) The patient taking medications at home knows where medications are stored and is not required to read the medication bottle before taking a medication.
D) Oral medications may come in sprinkles that are applied to food for administration.
E) Some oral medications may be crushed or chewed.

Question 11

To aid in taking oral medications, the patient may

A) place the solid medication on the back of the tongue
B) mix the medication in thick liquids, such as applesauce, unless this is contraindicated
C) make sure the mouth is moist
D) all of the above
E) all except a

Question 12

Oral administration of medications may be altered by which of the following EXCEPT

A) the ability to swallow
B) food and digestive disorders
C) secretions of the GI tract
D) consciousness of the person
E) all of the above are correct

Question 13

Oral medications should be used EXCEPT if the medication

A) has changed colors
B) has a strong or unexpected odor
C) is out of date
D) has disintegrated
E) all of the above are reasons to not use

Question 14

Oral medications are usually given to be swallowed into the gastrointestinal tract.

Question 15

Rectal medications may be given by suppository but not by enema.

Question 16

Rectal medications are usually given if the patient

A) is vomiting
B) has diarrhea
C) has difficulty swallowing
D) a and c
E) a, b, and c

Question 17

The routes of enteral medications include _____ medications.

A) oral
B) rectal
C) nasogastric and gastric
D) all of the above
E) a and b

Question 18

Most people have difficulty self-administering oral medications.

Question 19

When administering medications

A) always pour the medication into the cap and do not touch the drug
B) use the 3 + 7 rules
C) give the drug with sufficient liquid for ease of swallowing
D) crush the tablet prior to administering
E) a, b, and c

Question 20

Rectal medications are used to

A) relieve discomfort locally
B) stimulate evacuation of the bowels
C) provide systemic medications
D) a and b
E) a, b, and c

Question 21

If there is a question about whether a medication can be crushed or chewed, a drug reference or the physician should be consulted.

Question 22

Rectal suppositories usually have a glycerin or cocoa butter base.

Question 23

Oral fluids should not be given after administration of oral liquid medications.

Question 24

Prior to administering an enema, the tip should be lubricated with a petroleum product.

Question 25

All medications can be administered orally.

Question 26

When administering an enema, personal protective equipment should be used.

Question 27

Patient education is important with rectal suppositories to make sure the patient understands to remove the wrapping so that the rectal mucosa will not be subjected to trauma.

Question 28

You should never give oral medications to a crying child.

Question 29

The main danger of oral medication administration is aspiration of the drug into the respiratory tract.

Question 30

When using a prepackaged single-use enema, the medication should be rolled between the hands from the bottom of the bottle to the tip.

Question 31

One common and safe method to coerce children into taking prescribed medications is to call medicine "candy."

Question 32

When sprinkles are applied to food, the food should be at room temperature or cooler to allow for absorption in the GI tract.

Question 33

When administering medications orally, personal protective equipment and special disposal products are needed in most cases.

Question 34

When a rectal suppository has been administered, the patient should remain quiet for approximately 5 to 10 minutes and resist the urge to have a bowel evacuation.

Question 35

Extra fluids should be given to the patient with sulfa drug derivatives to prevent crystallization of the drug.

Question 36

Food and digestive disorders can change the rate of absorption of medications in the GI tract.

Question 37

The presence or absence of food in the GI tract has no affect on the absorption of oral medications.

Question 38

Rectal creams and ointments usually have directions that read "apply to the area" with no specific dosage given.

Question 39

The rectal route of medication administration is as reliable as the parenteral or oral route, and it is safe. The main side effect is local irritation, and this is rare.

Question 40

A suppository may be handled as needed without regard to body heat.

Question 41

Medications may be altered by gastric juices in the stomach and intestines.

Question 42

Enema fluids break-up fecal masses, stretch the rectal wall, and induce defecation.

Question 43

Rectal medications have only local actions.

Question 44

Coatings on medications are used to affect the time of release of the place of absorption.

Question 45

Suspensions may be poured for administration of a dose just as the liquid is supplied.

Question 46

If a child has difficulty swallowing a tablet, the best solution is to crush the medication for administration.

Question 47

Liquid medication labels should be palmed prior to pouring to protect the label from being damaged.

Question 48

If a medication is added to food, the food should be a warm full serving so the taste of the medication is better disguised.

Question 49

Storage of solid oral medications can be in any convenient place without consideration of moisture, light, or heat.

Question 50

Some medications come in sprinkles that can be added to food.

Question 51

For ease of swallowing oral solid medications, place the drug on the back of the tongue.

Question 52

If a liquid medication has been poured in excess of the needed dose, the excess medication should be poured back into the stock container.

Question 53

When preparing medications for administration, the inside of the container top should not be touched.

Question 54

A scored tablet is usually a sign that the tablet can be crushed.

Question 55

Always praise a child for cooperating when taking medications.

Question 56

When preparing a dose of liquid medication, the fluid should be poured to the meniscus.

Question 57

Side effects with rectal medications are often the reason for not using this route of administration.

Question 58

Effervescent forms of medications should be prepared 10 to 15 minutes prior to administration.

Question 59

Never give an oral medication to a crying child as it may cause respiratory difficulties.

Question 60

A dry mouth makes swallowing of capsules and gelcaps difficult.