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 C

Explanation

Choice A reason: Checking medications only once increases the likelihood of errors. Safe practice requires multiple verification steps.

Choice B reason: While better than a single check, verifying only twice may still miss potential discrepancies in drug or dosage accuracy.

Choice C reason: The three-check system (when retrieving, preparing, and administering medication) minimizes errors, ensuring patient safety through consistent validation at each step.

Choice D reason: Excessive verification may delay administration, reducing practicality without significantly improving safety beyond three checks.

A. Withhold the drug and recheck the MAR with the health care provider’s order sheet. B. Explain that the health care provider probably changed the drug today to something more effective and administer it. C. Administer the medication, but make a mental note to check on it later. D. Describe the action of the red tablet to the client and administer it.

Correct Answer is A

Explanation

Choice A reason: Withholding and rechecking ensures safety; a color change signals a potential error, and verifying the MAR against orders prevents administering the wrong drug.

Choice B reason: Assuming a change is risky; without confirmation, administering an unverified drug could harm the patient if it’s not the intended prescription.

Choice C reason: Administering then checking later endangers the patient; a wrong drug could cause adverse effects, and delayed verification violates safety protocols.

Choice D reason: Describing and giving without verification is unsafe; the red tablet may not match the order, risking incorrect treatment or allergic reactions.

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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

When preparing medications for delivery to an assigned patient, the nurse should check each medication for accuracy of drug and dose:

Correct Answer is C

Explanation

After the nurse hands a client a medication, the client says, "What is this red tablet for? I have always taken a yellow pill." What is the most appropriate action for the nurse to take?

Correct Answer is A

Explanation

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