When the nurse brings pills to the patient, the patient is unable to hold the paper cup with the medications. What should the nurse do?
Crush the pills and mix them with applesauce.
Have the primary health provider prescribe the liquid form of this drug.
Use the paper cup to introduce the pills into the patient's mouth.
Put the pills in the patient’s hand and have the patient self-administer the pills.
The Correct Answer is B
Choice A reason: Crushing pills can alter drug efficacy and safety, especially for medications with controlled-release properties, making this inappropriate without specific provider instructions.
Choice B reason: Requesting a liquid form accommodates the patient’s physical limitations, maintaining therapeutic integrity and ensuring safe and effective medication administration.
Choice C reason: Introducing pills directly into the patient’s mouth risks aspiration and violates safe administration practices, emphasizing the need for alternative methods.
Choice D reason: If the patient struggles to hold the cup, self-administration becomes impractical. Assistance through appropriate alternative forms ensures compliance and safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Fentanyl transdermal releases slowly over hours; its onset of 12-24 hours is too delayed for rapid pain relief, suiting chronic, not acute, pain management.
Choice B reason: Oral morphine (assuming PO) takes 30-60 minutes for onset; its slower absorption via the gut delays relief compared to faster intravenous routes.
Choice C reason: Acetaminophen with oxycodone (PO) has a 30-60 minute onset; gastrointestinal absorption limits speed, making it less rapid than IV administration for acute pain.
Choice D reason: Hydromorphone IV acts within 5-10 minutes; direct bloodstream delivery bypasses digestion, providing the fastest opioid receptor activation for immediate pain relief.
Correct Answer is A
Explanation
Choice A reason: Herbal remedies lack FDA safety data; in pregnancy, untested substances risk fetal harm (e.g., teratogenicity), making this a critical caution.
Choice B reason: Claiming safety is false; many herbs (e.g., St. John’s Wort) affect pregnancy adversely, and without evidence, this misleads the patient dangerously.
Choice C reason: Consistency isn’t required; herbal products vary widely in potency, and this false assurance ignores regulatory gaps in supplement standardization.
Choice D reason: Labels help, but warnings are inconsistent; this shifts responsibility without addressing the lack of proven safety, a more pressing prenatal concern.
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