A patient's anxiety medication is an extended release tablet. The nurse should avoid:
giving the medication in the morning
crushing the tablet and mixing with applesauce
giving the medication with their other scheduled medications
administering the tablet with water
The Correct Answer is B
A. Giving the medication in the morning.: Administering extended-release medication in the morning is generally acceptable unless otherwise specified. The timing depends on the drug’s purpose and effect duration, but morning administration does not interfere with the medication’s release mechanism.
B. Crushing the tablet and mixing with applesauce.: Extended-release tablets are designed to release medication gradually over time. Crushing or breaking them destroys the controlled-release coating, causing the entire dose to be absorbed rapidly, which increases the risk of toxicity and adverse effects.
C. Giving the medication with their other scheduled medications.: Extended-release tablets can usually be given alongside other prescribed medications unless there are known drug interactions. This practice does not affect the tablet’s slow-release mechanism or absorption profile.
D. Administering the tablet with water.: Taking an extended-release tablet with water is appropriate and ensures adequate swallowing and absorption. Water does not interfere with the extended-release properties of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. 3.: One ounce is not equivalent to 3 tablespoons. This value overestimates the conversion and could lead to medication dosing errors, especially in liquid medication administration for pediatric or elderly clients.
B. 1.: One tablespoon equals 0.5 ounces, not a full ounce. Using this conversion would result in underdosing and reduce the intended therapeutic effect of a liquid medication.
C. 4.: Four tablespoons equal 2 ounces, so this conversion doubles the actual amount. Administering this volume could cause an overdose if the drug is potent or concentrated.
D. 2.: One ounce equals 2 tablespoons, which is the correct conversion. This standard measurement is important in both pharmacology and nutrition to ensure safe and accurate liquid medication dosing.
Correct Answer is C
Explanation
A. At the nurses' station while reviewing the provider's prescription: This is part of the preparation process but not the final safety check before administration.
B. At the time of documentation: Documentation occurs after administration, not before, and cannot prevent an error.
C. At the client's bedside right before administering the medication: The final check occurs at the bedside to verify the right patient, drug, dose, route, and time—ensuring safe medication delivery.
D. In the medication storage room: This is an early preparation step and does not confirm client identity or final accuracy at the point of administration.
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