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?

Crushing the medication would release all the medication at once, rather than over time.

Crushing the medication is a good idea and I can mix it in some soft cream for you.

Crushing the medication might cause you to have stomach-ache or indigestion.

Crushing is unsafe as it destroys the ingredients in the medication.

Answer and Explanation

The Correct Answer is C

Enteric-coated aspirin is designed to release slowly over time to protect the stomach lining from irritation. Crushing the medication would defeat this purpose and could cause stomach irritation or other side eﬀects.

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Correct Answer is C

Explanation

According to UpToDate, cross-reactivity between penicillins and other beta-lactam antibiotics such as cephalosporins can occur in some cases. Amoxicillin is a type of penicillin, so the nurse should verify this prescription with the provider to ensure that it is safe for the client to take.

A. Return the medication to the pharmacy. B. Notify the provider. C. Give the medication. D. Discard the medication.

Correct Answer is A

Explanation

The correct answer is choice a. Return the medication to the pharmacy.

Choice A rationale:

Returning the medication to the pharmacy is the correct action. Medications past their expiration date may not be safe or effective, and the pharmacy can provide a replacement.

Choice B rationale:

Notifying the provider is not necessary in this situation. The nurse should handle the expired medication according to protocol, which typically involves returning it to the pharmacy.

Choice C rationale:

Giving the medication is incorrect. Administering expired medication can be unsafe and ineffective.

Choice D rationale:

Discarding the medication is not the best option. The pharmacy should handle the disposal of expired medications to ensure proper procedures are followed.

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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?

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