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.
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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Related Questions
Correct Answer is C
Explanation
a) Noncompliance due to cost might be a concern for some patients, but it does not directly relate to the sedative effects of the drug.
b) Deficient knowledge could be relevant if the patient is unaware of the potential sedative effects, but the immediate concern is more focused on the potential for injury due to sedation.
c) Risk for injury is the priority nursing diagnosis in this scenario because sedation can impair the patient's ability to perform tasks safely, increasing the risk for falls or other injuries. This is particularly important for elderly patients, who are more vulnerable to the sedative effects of medications.
d) Ineffective health maintenance refers to issues with ongoing health practices, but it is less directly related to the immediate risk posed by the sedative effects of the medication.
Correct Answer is B
Explanation
a) Pharmacoeconomics focuses on the cost-effectiveness of drugs and their impact on healthcare systems, not the administration of drugs for specific treatments.
b) Pharmacotherapeutics is the study of how drugs are used to treat, prevent, and diagnose diseases. Since all three nurses are administering medications for diagnostic, therapeutic, and preventive purposes, their actions fall under pharmacotherapeutics.
c) Pharmacodynamics refers to the mechanism of action of drugs, including how they interact with receptors and produce physiological effects, but it does not describe drug administration.
d) Pharmacokinetics deals with the absorption, distribution, metabolism, and excretion of drugs, but this question is focused on the purpose of drug administration rather than its movement through the body.
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