A patient who is to receive a daily medication by the oral route has had nausea and vomiting for the last 24 hours. The best action to ensure that the patient receives the scheduled dose is to:

Withhold the dose for 1 hour and see whether the nausea subsides.

Have the patient take the pill with sips of water.

Have the patient take the pill with crackers.

Acquire an order to administer by the rectal or parenteral route.

Answer and Explanation

The Correct Answer is D

Choice A reason: Withholding delays treatment; nausea may persist, risking vomiting of the dose if given later, reducing bioavailability and therapeutic effect over time.

Choice B reason: Sips of water won’t prevent vomiting; with ongoing nausea, the oral dose is likely expelled, decreasing absorption and failing to deliver the medication effectively.

Choice C reason: Crackers may worsen nausea or fail to retain the dose; vomiting risks remain high, compromising oral administration’s reliability in this acute condition.

Choice D reason: Rectal or parenteral routes bypass the stomach, ensuring delivery despite vomiting; this maintains therapeutic levels, critical for efficacy in a nauseated patient.

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Correct Answer is B

Explanation

Choice A reason: Showing the client isn’t a standard check; patients don’t verify MAR, and this step lacks relevance to the nurse’s triple-check safety protocol.

Choice B reason: Checking before returning ensures accuracy; the third check confirms the right drug post-administration, completing the three-point verification process safely.

Choice C reason: Calling the pharmacy is unrelated; label checks occur during administration, not external consultation, making this an irrelevant timing option.

Choice D reason: Colleague checks aren’t routine; the three checks are individual, and this step doesn’t align with standard MAR verification timing protocols.

A. Administer one-half tablet. B. Administer two tablets. C. Call the pharmacy to see if 40-mg tablets are available. D. Call the pharmacy for a new bottle of the medication.

Correct Answer is D

Explanation

Choice A reason: Half a tablet (10 mg) underdoses; expired drugs may degrade, and 40 mg is needed for diuresis, risking therapeutic failure in this scenario.

Choice B reason: Two tablets (40 mg) meet the dose but are expired; potency loss post-April 2013 risks inefficacy or toxicity, compromising patient safety.

Choice C reason: Seeking 40-mg tablets ignores expiration; even if available, current stock is outdated, and fresh supply is still required for reliable effect.

Choice D reason: Expired drugs (April 2013) lose potency; a new bottle ensures 40 mg of active furosemide, maintaining efficacy and safety for hypertension or edema.

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A patient who is to receive a daily medication by the oral route has had nausea and vomiting for the last 24 hours. The best action to ensure that the patient receives the scheduled dose is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When administering a medication, a nurse should check the label on the drug container against the MAR when removing the drug container from the client's medication drawer, when removing the drug from the medication container, and:

Correct Answer is B

Explanation

A patient is due for a 40-mg dose of furosemide (Lasix) at 9:00 AM on May 5, 2013. The drug label reads "20 mg per tablet." The tablets in the bottle appear firm and unbroken. The expiration date on the bottle reads "April 2, 2013." The best nursing action is to:

Correct Answer is D

Explanation

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