The nurse is caring for a client who has difficulty swallowing a large tablet of a prescribed drug. What action should the nurse take first?
Consult with the client's health care provider.
Administer the liquid form of the drug.
Administer the parenteral form of the drug.
Crush the tablet before administration.
The Correct Answer is A
Choice A reason: Consulting ensures safety; not all drugs can be altered, and the provider adjusts the order, preventing errors in bioavailability or efficacy.
Choice B reason: Liquid may work, but without approval, it’s unauthorized; some drugs lack liquid forms, and this bypasses necessary prescriber oversight.
Choice C reason: Parenteral needs an order change; administering without it violates scope, and it’s invasive, escalating care unnecessarily as a first step.
Choice D reason: Crushing alters pharmacokinetics; many tablets (e.g., extended-release) can’t be crushed, and doing so without checking risks toxicity or inefficacy.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Positioning the tablet next to the cheek alters absorption and delays onset. Sublingual placement ensures rapid effect.
Choice B reason: Swallowing bypasses sublingual absorption, reducing efficacy. The route is critical for desired therapeutic outcomes.
Choice C reason: Crushing and dissolving disrupts integrity, compromising rapid sublingual absorption. Proper administration maintains efficacy.
Choice D reason: Sublingual placement allows rapid dissolution and absorption via mucous membranes, ensuring swift therapeutic action.
Correct Answer is A
Explanation
Choice A reason: Blood aspiration indicates vascular entry; discarding prevents IV administration of a drug meant for another route, avoiding rapid absorption risks or contamination.
Choice B reason: Giving despite blood risks unintended IV delivery; drugs like IM injections aren’t formulated for this, potentially causing toxicity or embolism.
Choice C reason: Changing the needle doesn’t address blood-mixed medication; it remains unsafe for injection, as the dose is compromised and potentially contaminated.
Choice D reason: Omitting skips treatment unnecessarily; the issue is procedural, not the order, and restarting ensures the patient receives the intended therapy safely.
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