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 A

Explanation

Choice A reason: Deltoid and vastus lateralis are large muscles with good vascularity; they safely absorb IM injections, minimizing nerve damage or tissue irritation risks.

Choice B reason: Chest and abdomen lack sufficient muscle mass for IM; these are subcutaneous or IV sites, risking poor absorption or injury if used intramuscularly.

Choice C reason: Forearm and scapula are too thin or bony; IM injections here risk nerve or bone damage, lacking the muscle bulk needed for safe drug delivery.

Choice D reason: Lower leg (e.g., calf) has small muscles and major vessels; IM use risks vascular injury or slow absorption, making it an unsafe injection site.

A. Verbally tell the patient about what to report to the doctor. B. Ensure the medications are secured with childproof caps. C. Arrange the medication in a user-friendly pill organizer. D. Leave outdated medications in the medicine cabinet for future use.

Correct Answer is C

Explanation

Choice A reason: Verbal instructions alone risk forgetting; arthritis may impair memory or dexterity, making a physical aid more effective for consistent adherence.

Choice B reason: Childproof caps hinder access; arthritic hands struggle with them, potentially causing missed doses rather than aiding safe administration.

Choice C reason: A pill organizer simplifies timing and dosage; it compensates for arthritis-related dexterity issues, ensuring accurate intake for a solo patient.

Choice D reason: Outdated drugs risk toxicity or inefficacy; keeping them confuses regimens, endangering the patient rather than supporting current treatment needs.

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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

In addition to the dorsogluteal and ventrogluteal muscles, which of these sites can safely be used for intramuscular injections?

Correct Answer is A

Explanation

An arthritic patient will be discharged home with a variety of medications. The best way for the home health nurse to assist the patient who lives alone in taking his medications is to:

Correct Answer is C

Explanation

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