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Test Bank For Clayton’s Basic Pharmacology for Nurses 19th Edition
To facilitate flow into the large intestine, patients should be positioned on the left side. The
solution should be held for 30 minutes before defecating. Enemas are medications, so the
seven rights of medication administration should be followed. Lubrication of the rectal tube
will facilitate insertion into the rectum. Gravity will not facilitate the administration of a small
volume of enema solution administered from a bottle.
DIF: CognitiveLevel: Knowledge REF: p. 115 OBJ: 5
NAT: NCLEXClient Needs Category: Physiological Integrity
TOP: NursingProcess Step: Implementation
CON: Clinical Judgment | Safety | Patient Education
7. Which type of medication is appropriate to give through a gastrointestinal tube? (Select all
that apply.)
a. Liquid medication
b. Tablets crushed and diluted in 30 mL of water
c. Enteric coated tablets crushed and diluted in 30 mL of water
d. Capsules emptied into 30 mL of water
e. Timed release capsules emptied into 30 mL of water
f. Suppositories
ANS: A, B, D
Liquid forms of medications are preferable. Tablets may be crushed and diluted in water.
Capsules may be opened and the contents added to approximately 1 oz of water. Enteric
coated medications and timed release capsules should never be broken for administration.
Suppositories are not given via NG route.
DIF: CognitiveLevel: Application REF: p. 110 | p. 111
OBJ: 4 NAT: NCLEXClient Needs Category: Physiological Integrity
TOP: NursingProcess Step: Implementation CON: Clinical Judgment | Safety
8. Which method(s) of administration can be used for an adult patient receiving 10 mL of cough
syrup at 0800? (Select all that apply.)
a. Soufflé cup
b. Medicine cup
c. Oral syringe
d. Teaspoon
e. Nipple
ANS: B, C
The medicine cup is a plastic container with three scales to measure liquid medications. An
oral syringe comparable to the volume to be measured can be used for smaller volumes such
as 10 mL. A soufflé cup is a small paper or plastic cup used to transport solid medication
forms such as a capsule or tablet to the patient to prevent contamination by handling. A
teaspoon is equal to 5 mL. An infant feeding nipple with additional holes may be used for
administering oral medications to infants.
DIF: CognitiveLevel: Comprehension REF: p. 106 OBJ: 3
NAT: NCLEXClient Needs Category: Physiological Integrity
TOP: NursingProcess Step: Implementation CON: Clinical Judgment
Chapter 09: Parenteral Administration: Safe Preparation of Parenteral Medications
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
