A nurse has prepared an oral tablet for a patient who has difficulty swallowing. What should be done before administering this tablet?
Crush tablet and mix with applesauce
Cut tablet in half
Administer tablet with large glass of water
Consult with provider
The Correct Answer is D
Before administering an oral tablet to a patient who has difficulty swallowing, the nurse should consult with the provider. Some tablets are designed to be swallowed whole and should not be crushed or cut as this may alter their pharmacokinetics. In such cases, alternative formulations such as liquid or chewable tablets may be available.
a.Crushing tablets and mixing them with applesauce may alter the pharmacokinetics and should only be done if approved by the provider.
b.Cutting the tablet in half may alter the pharmacokinetics and should only be done if approved by the provider.
c.Administering the tablet with a large glass of water may help the patient swallow but does not address the underlying difficulty.
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Related Questions
Correct Answer is B
Explanation
Answer: b. Check the medication order.
The first step in the medication administration process is to check the medication order to ensure that it is complete, accurate, and appropriate for the client. The nurse should verify that the order includes the client’s name, the name and dose of the medication, the route and time of administration, and any other relevant information.
a. Verifying the client’s identity is an important step in the medication administration process, but it is not the first step.
c. Preparing the medication is an important step in the medication administration process, but it is not the first step.
d. Administering the medication is an important step in the medication administration process, but it is not the first step.
Correct Answer is D
Explanation
After administering a dose of pain medication, the nurse should check the patient’s vital signs such as heart rate, respiratory rate, blood pressure, and temperature. The nurse should also assess the patient’s pain level using an appropriate pain scale. Finally, the nurse should document the administration of pain medication including time, dose, route, and any adverse effects.
a . Checking the patient’s vital signs such as heart rate, respiratory rate, blood pressure, and temperature is important after administering a dose of pain medication.
b.Assessing a patient’s pain level using an appropriate pain scale is important after administering a dose of pain medication.
c.Documenting the administration of pain medication including time, dose, route, and any adverse effects is important after administering a dose of pain medication.
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