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 A
Explanation
Choice A reason: Respiratory depression from high morphine doses signals toxicity; opioids suppress the brainstem’s respiratory center, exceeding safe therapeutic levels at this extent.
Choice B reason: Allergic reactions involve immunity (e.g., rash, anaphylaxis); slowed breathing isn’t allergic, but a dose-dependent opioid effect on respiration.
Choice C reason: Idiosyncratic means unexpected (e.g., paradoxical excitement); respiratory depression is a predictable morphine overdose sign, not an unusual reaction.
Choice D reason: Therapeutic effects relieve pain; 8 breaths/minute is dangerously low, beyond intended analgesia, indicating a harmful, not beneficial, outcome.
Correct Answer is C
Explanation
Choice A reason: Understanding jokes assumes comprehension but ignores cultural comfort; humor’s acceptability varies, and this misses emotional readiness assessment.
Choice B reason: Jokes about staff may offend or confuse; without patient input, this risks cultural insensitivity, especially in Asian contexts valuing respect for authority.
Choice C reason: Asking feelings respects cultural norms; humor’s therapeutic effect depends on patient receptivity, ensuring it aligns with individual and cultural preferences.
Choice D reason: Joking about conditions can distress; it’s culturally inappropriate in many Asian settings, potentially worsening trust or emotional state without consent.
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