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

Explanation

A. Ask the patient if they have used any holistic medications previously. This approach respects the patient's preferences and opens a dialogue about their health beliefs and practices. Understanding the patient's use of holistic remedies allows the nurse to provide more personalized care and address potential interactions with prescribed medications.

B. Notify the health-care provider that the patient has refused the medication.
This step might be necessary eventually, but first, the nurse should explore the patient's concerns and preferences to see if a solution can be reached.

C. Tell the patient to talk to the health-care provider when they make rounds.
This response delays addressing the patient's concerns and misses an opportunity for the nurse to engage with the patient directly.

D. Tell the patient that the health-care provider would not order the medication unless it was necessary.
This response dismisses the patient's concerns and does not consider their cultural beliefs, which may lead to decreased trust and cooperation.

A. Contact the pharmacist to verify the order. B. Wait until the information is updated in the patient's medication profile. C. Schedule the medication to be given at noon. D. Administer the medication now.

Correct Answer is D

Explanation

A. Contact the pharmacist to verify the order: While verifying orders is important, for a STAT order, the priority is to administer the medication immediately. Verification can be done simultaneously or afterward if needed.

B. Wait until the information is updated in the patient's medication profile: Waiting to update the profile could delay crucial treatment. For a STAT order, immediate administration takes precedence.

C. Schedule the medication to be given at noon: Scheduling is not appropriate for a STAT order, which requires immediate administration due to its urgency.

D. Administer the medication now: This is the correct answer. STAT orders are meant to be administered as quickly as possible to address critical conditions.

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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

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