The nurse is administering a lozenge to a patient for treatment of a sore throat. Which instruction by the nurse would lead to increased absorption of the medication?
Break the lozenge in half, making it easier to swallow.
Take the lozenge with a glass of milk.
Swallow the medication with a drink of water.
Suck on the lozenge until it dissolves.
The Correct Answer is D
A. "Break the lozenge in half, making it easier to swallow."
Breaking the lozenge in half may reduce the effectiveness by altering how the medication is released and absorbed. Lozenge medications are designed to dissolve slowly.
B. "Take the lozenge with a glass of milk."
Milk could coat the mouth and throat, potentially reducing the absorption of the medication and decreasing its effectiveness.
C. "Swallow the medication with a drink of water."
Swallowing the lozenge whole would bypass the intended local effect in the mouth and throat, reducing the medication’s effectiveness in treating a sore throat.
D. "Suck on the lozenge until it dissolves." Sucking on the lozenge until it dissolves allows the medication to be released slowly and absorbed directly into the tissues of the mouth and throat, where it can have the most therapeutic effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Call the health-care provider to see if intravenous fluids are needed: This is not usually necessary unless the patient has a condition that requires it. It's more important to ensure NPO status is maintained.
B. Increase fluid intake prior to midnight to make sure the patient remains hydrated: This could be done, but it is less important than ensuring the patient follows the NPO instructions.
C. Remove the patient's water pitcher at the bedside shortly before midnight: This is the correct answer. Removing the pitcher helps prevent the patient from accidentally drinking water and violating NPO status.
D. This is an example of a STAT order and should be documented in the patient's chart: NPO orders are not STAT orders; they are routine orders related to the preparation for a procedure.
Correct Answer is B
Explanation
A. Brand names are the same as generic names: Brand names and generic names are different. The brand name is the trademarked name given by the manufacturer, while the generic name is the drug's standard name.
B. Once a drug's patent period has ended, the drug's trademark status is not protected, so other companies may produce the drug under its common or generic name. After a drug's patent expires, other companies can manufacture and sell the drug under its generic name, leading to the availability of generic versions of the drug.
C. Active ingredients can vary between generic and brand name drugs. The active ingredient in generic drugs must be the same as in the brand name drug. However, inactive ingredients (e.g., fillers, binders) may vary.
D. The name of a generic drug is capitalized: Generic drug names are not capitalized. They are written in lowercase, while brand names are capitalized.
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