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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Body fat levels influence subcutaneous absorption but are not the primary reason for choosing IM over SC injection in this scenario.

Choice B reason: Needle size varies by medication and patient factors, but this is not the defining reason for selecting IM over SC injection.

Choice C reason: IM injections deliver medication directly to muscle tissue with a rich vascular supply, ensuring faster absorption and onset compared to subcutaneous administration.

Choice D reason: IM injections are not inherently safer for patients at risk of bleeding; they carry similar risks and require proper assessment before administration.

A. The patient is unable to exercise due to severe osteoarthritis in both hips. B. The patient follows a low-carbohydrate, low-protein, high-fat diet. C. The patient has a history of hypertension and diabetic kidney disease. D. The patient has a 35 pack-year history of cigarette smoking.

Correct Answer is C

Explanation

Choice A reason: Osteoarthritis limits mobility; it doesn’t affect kidney function directly, so nephrotoxic drug clearance remains unchanged, not warranting a dose reduction.

Choice B reason: Diet impacts metabolism slightly; low protein may spare kidneys, but it doesn’t indicate impaired clearance requiring adjustment of nephrotoxic medication.

Choice C reason: Diabetic kidney disease with hypertension impairs filtration; reduced glomerular rate necessitates lower nephrotoxic doses to prevent further renal damage.

Choice D reason: Smoking affects lungs primarily; while it may indirectly harm kidneys, it’s less definitive than diabetic nephropathy for needing a reduced dose.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Why does the nurse administer lorazepam intramuscularly (IM) to the patient rather than into the subcutaneous tissue?

Correct Answer is C

Explanation

The nurse is to administer a nephrotoxic medication to the patient. Which assessment finding indicates to the nurse that the patient should receive a reduced dosage of the drug?

Correct Answer is C

Explanation

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