A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric- coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
Explanation & Rationale
A. Enteric-coated aspirin is designed to dissolve slowly in the small intestine to prevent irritation of the stomach lining. Crushing the tablet would destroy the enteric coating and cause the medication to be released too quickly, potentially leading to gastrointestinal discomfort or injury. B. Crushing is unsafe because it alters the medication’s intended absorption and delivery. It does not destroy the ingredients but compromises the coating, which is essential for safe use. C. Crushing the medication and mixing it with food like ice cream is not recommended because it will alter the delivery of the medication, leading to ineffective or harmful results. D. Crushing the medication might cause irritation to the stomach lining, but the primary concern is the improper release of the drug. It should not be crushed for any reason.