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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Body fat levels influence subcutaneous absorption but are not the primary reason for choosing IM over SC injection in this scenario.
Choice B reason: Needle size varies by medication and patient factors, but this is not the defining reason for selecting IM over SC injection.
Choice C reason: IM injections deliver medication directly to muscle tissue with a rich vascular supply, ensuring faster absorption and onset compared to subcutaneous administration.
Choice D reason: IM injections are not inherently safer for patients at risk of bleeding; they carry similar risks and require proper assessment before 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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
