The nurse is preparing to administer a chewable tablet to a preschool-age child. The child's parent reports always crushing the tablet and mixing it with pudding when giving it at home. What is the nurse's next action?

Ask the pharmacist if the drug may be crushed.

Crush the tablet and mix it with pudding.

Insist that the tablet must be chewed as ordered.

Request a liquid form of the medication from the pharmacy.

Answer and Explanation

The Correct Answer is A

a) The safest action is to consult the pharmacist to determine if the chewable tablet can be crushed without affecting its efficacy or safety. Some chewable tablets must be chewed for proper absorption, while others may be safely crushed.

b) Crushing the tablet without verifying its safety could alter the drug's effectiveness or cause adverse effects, so it should not be done without confirmation.

c) Insisting that the tablet be chewed disregards the child’s potential difficulty with chewing, which may lead to refusal or improper administration.

d) Requesting a liquid form could be an alternative, but it is not the immediate next step. Some medications may not be available in liquid form, so checking with the pharmacist first is the appropriate action.

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Correct Answer is B

Explanation

A. While medication adherence is important, the primary reason for asking about alternative therapies is not due to concerns about compliance. Patients may use alternative therapies alongside prescribed medications, potentially leading to harmful interactions.

B. Many complementary and alternative therapies, such as herbal supplements, can interact with prescribed medications, leading to adverse effects or reduced drug efficacy. For example, St. John’s Wort can decrease the effectiveness of certain medications, including anticoagulants and antidepressants. Identifying these therapies ensures patient safety.

C. While some natural products may have therapeutic benefits, they are not necessarily more effective than prescribed medications. Healthcare providers should base treatment decisions on evidence-based practice rather than assuming an alternative therapy is superior.

D. Financial concerns are important but not the primary reason for inquiring about alternative therapies. The nurse’s main concern is the potential for harmful drug interactions rather than the cost burden on the patient.

A. Children cannot give consent, so clinical drug trials are not performed on children. B. Children can only be subjects in quasi-experimental clinical studies. C. Data from adult clinical drug trials can be extrapolated to children. D. Federal law requires that drugs for children be tested on children.

Correct Answer is D

Explanation

a) Children can participate in clinical drug trials when appropriate consent is obtained from parents or guardians and when the study complies with ethical guidelines. They are not excluded from trials entirely because they cannot give consent.

b) Children can participate in various types of clinical studies, not just quasi-experimental ones, as long as the study follows ethical and legal guidelines for pediatric research.

c) Data from adult clinical trials cannot always be directly applied to children due to physiological differences. Pediatric drug testing is necessary to ensure drugs are both safe and effective for children.

d) Federal law mandates that drugs for children undergo testing in pediatric populations. This is to ensure that drugs are safe and effective for children, as they may respond differently than adults to medications.

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The nurse is preparing to administer a chewable tablet to a preschool-age child. The child's parent reports always crushing the tablet and mixing it with pudding when giving it at home. What is the nurse's next action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When taking a medication history on a patient, why should the nurse ask about the use of complementary or alternative therapies?

Correct Answer is B

Explanation

Which statement about the safety and efficacy of medications in children is accurate?

Correct Answer is D

Explanation

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