If a suppository becomes soft, which action should the nurse take?
Hold the foil-wrapped suppository under cold water for a short time
Do not administer the suppository
Insert the suppository even if it is soft
Return it to the pharmacy for replacement
The Correct Answer is A
Choice A reason: Cooling a soft suppository in foil under cold water firms it for insertion. This is practical, per nursing pharmacology. It’s universally applied, distinctly effective for administration.
Choice B reason: Not administering skips needed therapy; cooling resolves softness safely. This overreacts, per nursing standards. It’s universally distinct, errors in patient care continuity.
Choice C reason: Inserting a soft suppository reduces efficacy and comfort; cooling is better. This risks failure, per nursing pharmacology. It’s universally distinct, a poor choice.
Choice D reason: Returning to pharmacy delays treatment; cooling is faster and sufficient. This errors, per nursing standards. It’s universally distinct, less practical than cooling.
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Correct Answer is D
Explanation
Choice A reason: Bolus is instant; time-release spreads meds slowly instead. Reduced doses fit better. This errors per nursing pharmacology. It’s universally distinct, incorrect.
Choice B reason: Crushing ruins time-release; reduced dosing is the goal. This choice misaligns with nursing standards. It’s universally distinct, errors in handling.
Choice C reason: Pills aren’t specific to time-release; dose reduction is key. This errors per nursing pharmacology. It’s universally distinct, lacks precision.
Choice D reason: Time-release capsules extend action, cutting daily doses effectively. This aligns with nursing pharmacology standards. It’s universally distinct, reducing frequency.
Correct Answer is A
Explanation
Choice A reason: Insulin, a protein, is broken down in the stomach; parenteral delivery preserves it. This fits, per nursing pharmacology. It’s universally true, distinctly ensuring effective diabetes management.
Choice B reason: Insulin doesn’t affect bile production; stomach destruction is the issue. This misaligns, per nursing standards. It’s universally distinct, errors in insulin’s purpose.
Choice C reason: Solvent composition isn’t why; gastric digestion prevents oral use. This errors, per nursing pharmacology. It’s universally distinct, missing the destruction rationale.
Choice D reason: Pepsin secretion isn’t relevant; stomach acid destroys insulin. This misidentifies, per nursing standards. It’s universally distinct, unrelated to parenteral necessity.
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