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: Withholding delays treatment; nausea may persist, risking vomiting of the dose if given later, reducing bioavailability and therapeutic effect over time.

Choice B reason: Sips of water won’t prevent vomiting; with ongoing nausea, the oral dose is likely expelled, decreasing absorption and failing to deliver the medication effectively.

Choice C reason: Crackers may worsen nausea or fail to retain the dose; vomiting risks remain high, compromising oral administration’s reliability in this acute condition.

Choice D reason: Rectal or parenteral routes bypass the stomach, ensuring delivery despite vomiting; this maintains therapeutic levels, critical for efficacy in a nauseated patient.

A. 5 mL B. 7 mL C. 10 mL D. 14 mL

Correct Answer is B

Explanation

Choice A reason: 5 mL gives 125 mg; this underdoses the 175 mg order, reducing Ceclor’s antibacterial effect, risking persistent ear infection due to insufficient concentration.

Choice B reason: 7 mL is correct; 175 mg divided by 125 mg/5 mL equals 7 mL, delivering the exact cephalosporin dose for effective otitis media treatment.

Choice C reason: 10 mL provides 250 mg; this overdoses Ceclor, risking gastrointestinal upset or resistance, exceeding the therapeutic need for the infection safely.

Choice D reason: 14 mL yields 350 mg; this extreme overdose amplifies side effects like diarrhea or toxicity, far beyond the ordered 175 mg dose requirement.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who is to receive a daily medication by the oral route has had nausea and vomiting for the last 24 hours. The best action to ensure that the patient receives the scheduled dose is to:

Correct Answer is D

Explanation

The physician orders Ceclor 175 mg po for an ear infection. After reconstitution, the medication is available as 125 mg/5 mL. How many milliliters will the nurse administer?

Correct Answer is B

Explanation

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