The nurse is preparing to administer medications to the patient with difficulty swallowing. Of the following medications, which medication can be crushed or halved?
enteric coated baby Aspirin
XR Depakote capsule
gabapentin capsule
scored Tylenol tablet
The Correct Answer is D
A. Enteric coated baby Aspirin.: Enteric-coated tablets are designed to dissolve in the small intestine rather than the stomach to prevent gastric irritation. Crushing or breaking them destroys this coating, leading to stomach upset and reducing the drug’s intended protective effect.
B. XR Depakote capsule.: XR (extended-release) formulations are made to release the drug gradually over time. Crushing or opening these capsules disrupts the time-release mechanism, resulting in rapid absorption, possible toxicity, and loss of therapeutic control.
C. Gabapentin capsule.: Gabapentin capsules should not be opened or crushed, as doing so alters drug stability and can cause mucosal irritation. The nurse should request a liquid formulation if the patient cannot swallow capsules safely.
D. Scored Tylenol tablet.: Scored tablets are specifically designed to be safely split or crushed without altering drug absorption or efficacy. Dividing a scored Tylenol tablet allows for easier swallowing and accurate dosing, making it appropriate for patients with swallowing difficulties.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. STAT order.: A STAT order indicates that a medication should be administered immediately, often in urgent or emergency situations. Since ampicillin is prescribed at regular intervals every 6 hours, this order does not fit the criteria for a STAT medication.
B. Routine order.: A routine order is a standing prescription given at specific, regular times until it is discontinued or changed by the provider. The instruction to give ampicillin 500 mg orally every 6 hours represents a scheduled, ongoing medication regimen, making it a routine order.
C. One time order.: A one-time order refers to a single administration of a medication for a specific purpose, such as a preoperative antibiotic dose. The repeated schedule in this case indicates continued dosing rather than a one-time administration.
D. PRN order.: A PRN (as needed) order is administered only when specific symptoms occur, such as pain or nausea. Since this order specifies fixed timing rather than symptom-based dosing, it is not classified as PRN.
Correct Answer is A
Explanation
A. 2: One pint equals 2 cups. This is the correct conversion in the U.S. customary system of measurement used for volume.
B. 8: Eight cups equal 1/2 gallon or 4 pints, not 1 pint.
C. 6: Six cups do not correspond to any standard conversion involving pints.
D. 4: Four cups equal 1 quart, which is double the volume of 1 pint.
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