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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Promising instant relief is misleading; most drugs take time, and false expectations may erode trust, reducing cooperation in a toddler’s care.
Choice B reason: Calling it candy is unethical; it risks future candy confusion with drugs, potentially leading to accidental ingestion, unsafe for a 3-year-old.
Choice C reason: Confident explanation suits a toddler’s understanding; it builds trust, reduces fear, and ensures cooperation by clearly stating purpose and process age-appropriately.
Choice D reason: Firm insistence may scare a toddler; without explanation, it lacks reassurance, potentially increasing resistance and distress during medication administration.
Correct Answer is C
Explanation
Choice A reason: Dependence is physiological reliance; crushing for speed isn’t dependence but alters delivery, not fitting the chronic need-based pattern of dependency.
Choice B reason: Abuse seeks euphoria or excess; crushing for relief manipulates timing, not intent, distinguishing it from recreational or harmful overuse patterns.
Choice C reason: Misuse is incorrect use; crushing extended-release voids its design, delivering a bolus dose unsafely, matching the patient’s action precisely.
Choice D reason: Underuse is insufficient dosing; crushing increases immediate effect, not reducing intake, making this the opposite of the patient’s medication alteration.
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