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: Assuming patient preference lacks evidence; without asking, this dismisses autonomy, potentially misrepresenting the patient’s comfort with spiritual interventions.

Choice B reason: Endorsing without consent is inappropriate; the patient’s lack of affiliation suggests possible rejection, and this risks imposing unwanted religious activity.

Choice C reason: Doctor’s order isn’t required; prayer is a chaplain’s role, not medical, but patient consent is still needed, making this an unnecessary step.

Choice D reason: Permission respects autonomy; without religious affiliation, the patient may decline, and consent ensures ethical care aligned with individual beliefs.

A. A patient develops hives after having started an antibiotic 24 hours earlier. B. A patient receives a double dose of a medication because the nurse did not cut the pill in half. C. A patient refuses her morning medications. D. A patient complains of severe pain still present 60 minutes after a pain medication was given.

Correct Answer is B

Explanation

Choice A reason: Allergic reactions are adverse drug effects, not necessarily medication errors. Documentation of allergies before administration prevents such events.

Choice B reason: Administering a double dose results directly from improper preparation, constituting a clear medication error requiring immediate reporting and corrective action.

Choice C reason: Patient refusal is not a medication error but a decision. Nurses must document refusals and provide education on medication importance.

Choice D reason: Persistent pain indicates ineffective medication, which is an issue of treatment efficacy, not an error in administration.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse caring for a patient without any religious affiliation who was admitted 2 days ago with a severe gastrointestinal infection encounters the hospital chaplain who wants to pray with the patient. The most appropriate response by the nurse is:

Correct Answer is D

Explanation

The nurse is reviewing medication errors. Which situation is an example of a medication error?

Correct Answer is B

Explanation

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