The patient crushes extended-release pain medication tablets in order to obtain relief immediately. Which term describes the action of this patient?

Medication dependence

Medication abuse

Medication misuse

Medication underuse

Answer and Explanation

The Correct Answer is C

Choice A reason: Dependence is physiological reliance; crushing for speed isn’t dependence but alters delivery, not fitting the chronic need-based pattern of dependency.

Choice B reason: Abuse seeks euphoria or excess; crushing for relief manipulates timing, not intent, distinguishing it from recreational or harmful overuse patterns.

Choice C reason: Misuse is incorrect use; crushing extended-release voids its design, delivering a bolus dose unsafely, matching the patient’s action precisely.

Choice D reason: Underuse is insufficient dosing; crushing increases immediate effect, not reducing intake, making this the opposite of the patient’s medication alteration.

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Correct Answer is D

Explanation

Choice A reason: Fentanyl patches provide continuous opioid delivery for 72 hours; their fixed schedule isn’t “as needed,” making them unsuitable for acute, variable pain management.

Choice B reason: Acetaminophen with oxycodone is scheduled every 6 hours; this fixed interval lacks the flexibility of “as needed,” limiting its use for breakthrough pain relief.

Choice C reason: Morphine extended-release is designed for sustained release over 12 hours; its fixed dosing isn’t “as needed,” restricting its role to chronic, not acute, pain control.

Choice D reason: Ketorolac IV every 4 hours prn allows flexible dosing; this NSAID targets inflammation and pain acutely, ideal for as-needed administration within safe limits.

A. Check the patient's identification number on the wristband. B. Check the patient's name on the wristband and compare it with the MAR. C. Check the name and hospital number on the wristband and compare them to the MAR. D. Call each patient by his given name, ask for his birthday, and compare with the MAR.

Correct Answer is C

Explanation

Choice A reason: An ID number alone lacks context; without name confirmation, it risks mismatching if wristbands are swapped, missing a critical identity check.

Choice B reason: Name alone may coincide with common names; without a unique identifier like a hospital number, this method risks errors in a busy unit.

Choice C reason: Name and hospital number provide dual identifiers; this matches the MAR precisely, ensuring accuracy for an unconscious patient per safety standards.

Choice D reason: Calling an unconscious patient is futile; they can’t respond, making this impractical and unreliable compared to objective wristband verification.

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The patient crushes extended-release pain medication tablets in order to obtain relief immediately. Which term describes the action of this patient?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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