A nurse is preparing to administer a medication to a patient. Which routes should the nurse anticipate as leading to quicker systemic absorption? (Select all that apply.)

Intramuscular

Intravenous

topically

Transdermal

Oral pills

Answer and Explanation

Correct Answer : A,B

A. Intramuscular: Intramuscular (IM) injections are absorbed faster than oral medications due to the richer blood supply in muscles compared to subcutaneous tissues.

B. Intravenous: Intravenous (IV) administration provides immediate systemic absorption as the medication is delivered directly into the bloodstream.

C. Topically: Topical medications are applied to the skin and generally have a slower absorption rate compared to systemic routes.

D. Transdermal: Transdermal patches provide a steady, controlled release of medication through the skin, but absorption is slower compared to IM and IV routes.

E. Oral pills: Oral medications are absorbed through the gastrointestinal tract, which is slower compared to IM and IV routes.

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Correct Answer is D

Explanation

A. The patient takes 4 medications each day.
Taking multiple medications is common in geriatric patients and does not warrant immediate priority action unless there is evidence of polypharmacy or interactions.

B. The patient states that the medications are delivered by the local pharmacy.
This is a routine aspect of medication management and does not present an immediate concern.

C. The patient is able to describe each medication and why it is being taken.
This indicates that the patient is knowledgeable about their medications, which is positive and does not require immediate action.

D. The patient skips a dose of certain medications sometimes. Skipping doses can lead to subtherapeutic levels of medication, potentially worsening the patient's condition or leading to medication errors. This requires immediate attention to ensure proper adherence to the medication regimen.

A. "It is difficult to tell if you will have this reaction again." B. "This is a mild side effect and may not lead to additional side effects. If it were to occur, there may be ways to reduce the side effects. C. "You should not take this medication again, as the same thing might happen." D. "This is not a serious side effect, so there is no concern."

Correct Answer is B

Explanation

A. "It is difficult to tell if you will have this reaction again."
This statement is honest but not very reassuring. It doesn't offer guidance or potential solutions, which could leave the patient feeling anxious.

B. "This is a mild side effect and may not lead to additional side effects. If it were to occur, there may be ways to reduce the side effects." This response is appropriate because it acknowledges the patient's concern, provides reassurance, and offers the possibility of managing the side effects if they occur again. It balances the patient's worry with practical information.

C. "You should not take this medication again, as the same thing might happen."
This response is too definitive and may be inappropriate if the medication is important for the patient's treatment. It dismisses the possibility of managing the side effect.

D. "This is not a serious side effect, so there is no concern."
This response is dismissive of the patient's feelings and does not address their concerns adequately. It may make the patient feel their worries are being minimized.

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A nurse is preparing to administer a medication to a patient. Which routes should the nurse anticipate as leading to quicker systemic absorption? (Select all that apply.)

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