A client is scheduled to receive a sublingual tablet and has difficulty swallowing tablets. Which is the best nursing action?

Crush the medication and administer in applesauce.

Place the tablet under the client's tongue.

Obtain a liquid form of the medication.

Place the tablet inside the client's cheek.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Crushing the medication and administering it in applesauce might alter its pharmacokinetics, rendering it ineffective or causing it to act too quickly. Sublingual tablets are designed to dissolve under the tongue for rapid absorption into the bloodstream. Crushing the tablet and mixing it with applesauce could change its intended mode of action.

Choice B rationale:

Placing the tablet under the client's tongue is the correct action for a sublingual tablet. Sublingual administration allows the medication to dissolve directly into the bloodstream through the sublingual mucosa, bypassing the digestive system and providing rapid onset of action.

Choice C rationale:

Obtaining a liquid form of the medication might be an option, but it may not always be available. Additionally, some medications are not available in liquid forms, and the liquid form might have a slower onset of action compared to the sublingual route.

Choice D rationale:

Placing the tablet inside the client's cheek is known as the buccal route of administration. While this route is also for oral absorption, sublingual administration is preferred for specific medications designed for rapid absorption.

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Correct Answer is C

Explanation

The correct answer is choice C. Assign the remainder of medication administration to another PN who is performing treatments.

Choice A rationale:

Asking unlicensed assistive personnel (UAP) to give medications to their assigned residents is not the best action to take in this situation. Medication administration requires a certain level of training and knowledge to ensure safe and accurate delivery. UAPs may not have the appropriate training and legal authorization to administer medications, which could lead to potential errors and harm to the residents.

Choice B rationale:

Documenting why all the medications were not given to each resident is not sufficient to address the issue at hand. While documentation is essential for record-keeping and communication, it does not resolve the problem of medication administration being left incomplete. The priority should be finding a qualified person to administer the remaining medications.

Choice C rationale:

This is the correct answer because assigning the remainder of medication administration to another PN who is performing treatments ensures that qualified and trained personnel are handling the medication administration. This PN is likely familiar with medication protocols and safety measures, reducing the risk of errors.

Choice D rationale:

Denying the medication aide's request to leave before all medications are given might not be practical if the aide is genuinely unwell or unable to continue working safely. The focus should be on ensuring that medication administration is completed by qualified staff rather than forcing the sick aide to stay.

A. Massage the calf and foot. B. Extend the leg and ﬂex the foot. C. Check the pedal pulse in the aﬀected leg. D. Elevate the leg above the heart. E. None F. None

Correct Answer is B

Explanation

The correct answer is B. Extend the leg and flex the foot.

Choice A rationale:

Massaging the calf and foot is not recommended as it could potentially dislodge a blood clot if one is present, which can be dangerous.

Choice B rationale:

Extending the leg and flexing the foot helps to relieve the cramp by stretching the muscles involved. This is a safe and effective method to alleviate muscle cramps.

Choice C rationale:

Checking the pedal pulse in the affected leg is important for assessing circulation but does not directly address the immediate discomfort of the cramp.

Choice D rationale:

Elevating the leg above the heart is generally used to reduce swelling and improve circulation but is not specifically effective for relieving muscle cramps.

: 3

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A client is scheduled to receive a sublingual tablet and has difficulty swallowing tablets. Which is the best nursing action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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