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 B
Explanation
Choice A reason: Lungs excrete volatile drugs like anesthetics; most medications aren’t metabolized here, as they lack the cytochrome enzymes needed for broad drug breakdown.
Choice B reason: The liver is the primary site; cytochrome P450 enzymes metabolize most drugs, converting them into active or excretable forms, critical for pharmacokinetics.
Choice C reason: Kidneys excrete metabolites; they filter, not metabolize, most drugs, relying on prior liver processing, making them secondary in the metabolic pathway.
Choice D reason: The colon absorbs some drugs but doesn’t metabolize most; its role is minimal compared to the liver’s extensive enzymatic drug transformation capacity.
Correct Answer is D
Explanation
Choice A reason: Half a tablet (10 mg) underdoses; expired drugs may degrade, and 40 mg is needed for diuresis, risking therapeutic failure in this scenario.
Choice B reason: Two tablets (40 mg) meet the dose but are expired; potency loss post-April 2013 risks inefficacy or toxicity, compromising patient safety.
Choice C reason: Seeking 40-mg tablets ignores expiration; even if available, current stock is outdated, and fresh supply is still required for reliable effect.
Choice D reason: Expired drugs (April 2013) lose potency; a new bottle ensures 40 mg of active furosemide, maintaining efficacy and safety for hypertension or edema.
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