The nurse is going to administer a medication that must be crushed for the patient to take it. This medication is best given to the patient by:

Dissolving it in juice.

Mixing it in applesauce or soft food.

Adding it to water.

Sprinkling it on meat or vegetables.

Answer and Explanation

The Correct Answer is B

Choice A reason: Juice may alter absorption; liquid can dilute or degrade some drugs, and taste may deter intake, reducing effectiveness compared to soft food.

Choice B reason: Applesauce masks taste and aids swallowing; it ensures crushed medication is consumed fully, maintaining dose integrity without altering pharmacokinetics significantly.

Choice C reason: Water may not mask bitterness; some drugs dissolve poorly or lose potency, and patients may not finish it, risking incomplete dosing.

Choice D reason: Meat or vegetables may bind drugs; uneven distribution or strong flavors could reduce intake, compromising the full therapeutic dose delivery.

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Correct Answer is D

Explanation

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.

A. 8:00 and 10:00 A.M. B. 8:30 and 9:30 A.M. C. 8:30 and 9:00 A.M. D. 8:45 and 9:15 A.M.

Correct Answer is D

Explanation

Choice A reason: Two-hour window (8:00-10:00) is too broad; most protocols allow 30 minutes before/after, as wider ranges risk altering drug pharmacokinetics significantly.

Choice B reason: One-hour window (8:30-9:30) is common but exceeds some strict policies; it’s less precise, potentially affecting drugs with tight timing needs.

Choice C reason: 8:30-9:00 is only before; it excludes post-9:00 flexibility, limiting administration to early dosing, which may not align with full protocol windows.

Choice D reason: 8:45-9:15 (30 minutes either side) fits standard policy; it ensures therapeutic levels for most drugs, balancing efficacy with practical scheduling.

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The nurse is going to administer a medication that must be crushed for the patient to take it. This medication is best given to the patient by:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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