A nurse teaches the patient about the prescribed sublingual medication. Which statement by the patient indicates teaching by the nurse is successful?

“I better chew my medication first for faster distribution.”

“I should let the medication dissolve completely.”

“I can only drink water, not juice, with this medication.”

“I will place the medication between my cheek and gum.”

Answer and Explanation

The Correct Answer is B

A: Chewing sublingual medication is incorrect. Sublingual medications are designed to dissolve under the tongue for rapid absorption into the bloodstream.

B: Letting the medication dissolve completely is correct. This ensures that the medication is absorbed properly and works effectively.

C: There is no restriction on drinking juice with sublingual medication unless specified by the healthcare provider. This statement does not indicate a clear understanding of sublingual administration.

D: Placing the medication between the cheek and gum is incorrect for sublingual medications. This method is used for buccal medications, not sublingual ones.

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Correct Answer is C

Explanation

A: Hyperkalemia refers to high potassium levels, which can occur in ESKD but does not directly cause shortness of breath, swelling, or crackles in the lungs.

B: Hyponatremia refers to low sodium levels, which can occur in ESKD but does not directly cause the symptoms described.

C: Hypervolemia, or fluid overload, is the most likely cause of the client’s symptoms. ESKD can lead to fluid retention, causing shortness of breath, swelling, crackles in the lungs, and elevated blood pressure.

D: Hypovolemia refers to low blood volume, which would not cause the symptoms of fluid overload described in the client.

A. Verifies the medication against the prescription and medication label. B. Documents medication administration prior to administering. C. Scans the bar code on the medication administration record and the client’s arm band. D. Checks the provider’s orders and confirms dosage in a.

Correct Answer is B

Explanation

A: Verifying the medication against the prescription and medication label is a correct and essential step in ensuring the right medication is given to the right patient.

B: Documenting medication administration prior to administering is incorrect and can lead to errors. Documentation should occur immediately after the medication is given to ensure accuracy and prevent discrepancies.

C: Scanning the bar code on the medication administration record and the client’s arm band is a correct practice that helps verify the patient’s identity and the medication being administered.

D: Checking the provider’s orders and confirming the dosage is a necessary step to ensure the correct medication and dose are given. This action is part of safe medication administration practices.

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A nurse teaches the patient about the prescribed sublingual medication. Which statement by the patient indicates teaching by the nurse is successful?

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Correct Answer is C

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