For a patient who has difficulty swallowing, which form of medication can the nurse crush?

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.

A. "You won't get better unless you take the medication.": This response uses a directive and judgmental tone. It focuses on compliance rather than exploring the client’s feelings or reasons for refusing treatment, which may cause the client to become defensive.

B. "I always do what the doctor tells me to do.": This response shifts the focus away from the client and provides no opportunity for therapeutic communication. It minimizes the client’s concerns and discourages open dialogue about their reasoning or emotional state regarding medication refusal.

C. "Why don't you want to take the medication?": Although this question seeks to understand the client’s perspective, the phrasing is direct and may sound confrontational. It could make the client feel pressured or judged rather than supported in sharing their feelings or fears.

D. "Tell me more about this decision.": This response because it invites the client to express their thoughts, feelings, and concerns in a nonjudgmental way. It encourages open communication and allows the nurse to assess the underlying reason for noncompliance, such as side effects or fear.