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 A

Explanation

Choice A reason: Alcohol and hepatitis C impair liver function; acetaminophen’s metabolite NAPQI accumulates, causing hepatotoxicity in an already compromised organ.

Choice B reason: COPD and smoking affect lungs, not liver; acetaminophen metabolism is minimally impacted, posing lower hepatic risk compared to liver disease states.

Choice C reason: Renal disease affects drug excretion, not liver metabolism; acetaminophen’s hepatic load is unchanged, making liver damage less likely here.

Choice D reason: Prostate issues involve urinary tract; liver metabolism of acetaminophen remains intact, with no heightened risk of hepatotoxicity from this condition.

A. Remove the syringe, discard the medication, and start over. B. Give the medication as ordered. C. Remove the syringe, change the needle, and give the medication. D. Omit the dose.

Correct Answer is A

Explanation

Choice A reason: Blood aspiration indicates vascular entry; discarding prevents IV administration of a drug meant for another route, avoiding rapid absorption risks or contamination.

Choice B reason: Giving despite blood risks unintended IV delivery; drugs like IM injections aren’t formulated for this, potentially causing toxicity or embolism.

Choice C reason: Changing the needle doesn’t address blood-mixed medication; it remains unsafe for injection, as the dose is compromised and potentially contaminated.

Choice D reason: Omitting skips treatment unnecessarily; the issue is procedural, not the order, and restarting ensures the patient receives the intended therapy safely.

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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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Explanation

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Correct Answer is A

Explanation

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