A nurse teaches the patient about the prescribed sublingual medication. Which statement by the patient indicates teaching by the nurse is successful?

“I better chew my medication first for faster distribution.”

“I should let the medication dissolve completely.”

“I can only drink water, not juice, with this medication.”

“I will place the medication between my cheek and gum.”

Answer and Explanation

The Correct Answer is B

A: Chewing sublingual medication is incorrect. Sublingual medications are designed to dissolve under the tongue for rapid absorption into the bloodstream.

B: Letting the medication dissolve completely is correct. This ensures that the medication is absorbed properly and works effectively.

C: There is no restriction on drinking juice with sublingual medication unless specified by the healthcare provider. This statement does not indicate a clear understanding of sublingual administration.

D: Placing the medication between the cheek and gum is incorrect for sublingual medications. This method is used for buccal medications, not sublingual ones.

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Correct Answer is A

Explanation

A: Having another nurse witness the wasted medication is the correct procedure. This ensures accountability and compliance with regulations regarding the handling and disposal of controlled substances.

B: Returning the wasted medication to the medication dispenser is not appropriate. Once a narcotic has been withdrawn, it cannot be returned to the dispenser due to contamination and safety protocols.

C: Placing the wasted portion of the medication in the sharps container is not correct. Narcotics should be disposed of according to specific protocols, which typically involve witnessing and documentation, not simply placing them in a sharps container.

D: Exiting the medication room to call the health care provider to request an order that matches the dosages is unnecessary. The nurse should follow the proper procedure for wasting the medication with a witness.

Correct Answer is ["9"]

Explanation

Step 1: Convert the dosage from mg to mcg. 0.75 mg × 1000 = 750 mcg Result: 750 mcg

Step 2: Determine the number of tablets needed. 750 mcg ÷ 88 mcg/tablet = 8.5227 tablets Result: 8.5227 tablets

Step 3: Round the result to the nearest whole number. 8.5227 tablets rounded to the nearest whole number = 9 tablets Result: 9 tablets

The nurse should administer 9 tablets per dose.

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A nurse teaches the patient about the prescribed sublingual medication. Which statement by the patient indicates teaching by the nurse is successful?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?

Correct Answer is A

Explanation

A nurse is preparing to administer levothyroxine 0.75 mg PO once a day. The amount available is levothyroxine 88 mcg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["9"]

Explanation

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