The nurse is administering a lozenge to a patient for treatment of a sore throat. Which instruction by the nurse would lead to increased absorption of the medication?

Break the lozenge in half, making it easier to swallow.

Take the lozenge with a glass of milk.

Swallow the medication with a drink of water.

Suck on the lozenge until it dissolves.

Answer and Explanation

The Correct Answer is D

A. "Break the lozenge in half, making it easier to swallow."
Breaking the lozenge in half may reduce the effectiveness by altering how the medication is released and absorbed. Lozenge medications are designed to dissolve slowly.

B. "Take the lozenge with a glass of milk."
Milk could coat the mouth and throat, potentially reducing the absorption of the medication and decreasing its effectiveness.

C. "Swallow the medication with a drink of water."
Swallowing the lozenge whole would bypass the intended local effect in the mouth and throat, reducing the medication’s effectiveness in treating a sore throat.

D. "Suck on the lozenge until it dissolves." Sucking on the lozenge until it dissolves allows the medication to be released slowly and absorbed directly into the tissues of the mouth and throat, where it can have the most therapeutic effect.

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Correct Answer is ["A","B","E"]

Explanation

A. Ritalin (methylphenidate) is a Schedule II drug, indicating it has a high potential for abuse and dependence, despite its accepted medical use for treating ADHD.

B. Cocaine is classified as a Schedule II drug because it has a high potential for abuse but also has accepted medical uses, such as in certain surgical procedures as a local anesthetic.

C. Ketamine is classified as a Schedule III drug. It has a lower potential for abuse compared to Schedule II substances but is still controlled.

D. Methaqualone is a Schedule I drug, indicating it has no accepted medical use and a high potential for abuse.

E. Hydrocodone, particularly in combination with other substances, is classified as a Schedule II drug due to its high potential for abuse and dependence.

A. Standing orders B. STAT orders C. Automatic stop orders D. Verbal orders

Correct Answer is A

Explanation

A. Standing orders: Standing orders are prewritten orders for specific situations. For a patient post-procedure, standing orders might include pain management protocols that would be activated based on the pain assessment.

B. STAT orders: STAT orders are urgent and are typically used in emergency situations. A pain score of 5/10 does not usually warrant a STAT order.

C. Automatic stop orders: Automatic stop orders are used to discontinue a medication after a certain period or dosage has been reached. They don’t apply directly to managing current pain levels.

D. Verbal orders: Verbal orders are given in person or over the phone when a written order is not possible. These should be minimized to avoid errors and are less likely to be used for routine pain management.

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The nurse is administering a lozenge to a patient for treatment of a sore throat. Which instruction by the nurse would lead to increased absorption of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following are considered Schedule II drugs by the DEA? select all that apply

Correct Answer is ["A","B","E"]

Explanation

A nurse is performing a pain assessment, noting 5 on a 10-point scale, for a postoperative patient who is 24 hours post procedure. Which type of order should the nurse anticipate that the health-care provider has written?

Correct Answer is A

Explanation

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