Which oral medication can the nurse safely cut in half?
A
B
C
D
The Correct Answer is C
A. This tablet has no score line and could have an extended-release or special coating that should not be altered. Cutting it may affect absorption and safety.
B. The triangular shape and lack of score line suggest it is not intended to be split, risking improper dosing or altered release.
C. The tablet in option C has a scored line (a groove down the middle), which indicates that it can be safely split. Scored tablets are manufactured to ensure even distribution of the active ingredient, making it safe for dose division.
D. This is a capsule, which should never be cut or opened unless specifically directed, as it may contain extended-release beads or irritants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E","G","H"]
Explanation
A. Electrolytes: Electrolytes are important to monitor in this client due to potential blood loss and altered kidney function. Electrolyte imbalances (especially sodium and potassium) can affect heart function, muscle strength, and overall fluid balance, which is crucial after trauma and surgery.
B. Coagulation studies: Given the trauma (liver and spleen lacerations), the client is at risk for bleeding. Coagulation studies (including PT, INR, and aPTT) are necessary to assess the clotting ability and manage bleeding risk, particularly before surgery or when planning for interventions.
C. Blood culture: While blood cultures are important for identifying infections, there is no immediate indication of infection in this patient at this point in time. The priority is stabilizing the patient and managing trauma and bleeding.
D. Lipid panel: A lipid panel is not a priority at this moment. It is generally used to assess cardiovascular risk and would not provide immediate information relevant to managing acute trauma and bleeding.
E. Complete blood count (CBC): A CBC is essential to assess for anemia, infection, or other hematologic abnormalities, especially in trauma patients with possible internal bleeding. Hemoglobin and hematocrit levels provide information about blood loss and oxygen-carrying capacity.
F. Urine osmolality: Urine osmolality is useful for assessing kidney function and hydration but is not immediately necessary in this trauma case. The priority is stabilizing the patient's circulatory and respiratory status, with more focus on urine output and renal function.
G. Arterial blood gas (ABG): An ABG is crucial to assess the client’s oxygenation, ventilation, and acid-base status, especially since the client is intubated and on a ventilator. This will help in monitoring respiratory function and ensuring proper oxygen delivery.
H. Type and screen: The client has a history of trauma and potential internal bleeding. It is essential to know her blood type and ensure compatibility for any potential blood transfusions, particularly before the exploratory laparotomy and any possible further blood loss.
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}
Explanation
Rationale for Correct Responses:
- Before breakfast: Monitoring blood glucose before breakfast (fasting blood glucose) is essential for evaluating how well the body is managing glucose levels overnight. It helps assess baseline blood sugar control before any food intake and provides insights into insulin sensitivity or resistance.
- Two hours after all meals: Checking blood glucose two hours post-meal helps determine how well the body is processing food, which is crucial for managing blood sugar spikes after eating.
Rationale for Incorrect Responses:
- Before bedtime: Bedtime monitoring isn't routinely necessary unless instructed by the healthcare provider for clients who are at risk of nocturnal hypoglycemia. The focus generally should be on pre-meal and post-meal blood sugar levels for optimal control.
- Only when symptomatic: Waiting for symptoms is not sufficient for diabetes management. Regular monitoring is essential to detect asymptomatic hyperglycemia or hypoglycemia before it causes complications.
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