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 B

Explanation

Choice A reason: Waiting delays care; illegible orders risk errors, and timely clarification ensures the patient receives accurate treatment without unnecessary postponement.

Choice B reason: Direct prescriber contact resolves ambiguity; it ensures the order’s intent, aligning with safety protocols to prevent misinterpretation or harm.

Choice C reason: Colleagues may guess incorrectly; peer opinion lacks authority, risking errors in dosage or drug, compromising patient safety over prescriber intent.

Choice D reason: Patient recall is unreliable; home meds may differ from admission orders, and this doesn’t clarify the prescriber’s handwritten instruction accurately.

A. That it will make him feel better right away. B. That the medication is candy and tastes good. C. In a confident manner what the medication is for and how it will be given. D. Firmly that the drug is important to take as soon as possible.

Correct Answer is C

Explanation

Choice A reason: Promising instant relief is misleading; most drugs take time, and false expectations may erode trust, reducing cooperation in a toddler’s care.

Choice B reason: Calling it candy is unethical; it risks future candy confusion with drugs, potentially leading to accidental ingestion, unsafe for a 3-year-old.

Choice C reason: Confident explanation suits a toddler’s understanding; it builds trust, reduces fear, and ensures cooperation by clearly stating purpose and process age-appropriately.

Choice D reason: Firm insistence may scare a toddler; without explanation, it lacks reassurance, potentially increasing resistance and distress during medication administration.

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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

Correct Answer is B

Explanation

A hospitalized 3-year-old toddler is to receive an oral medication. For the most effective approach, the nurse should tell the child:

Correct Answer is C

Explanation

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