The nurse is going to administer a medication that must be crushed for the patient to take it. This medication is best given to the patient by:

Dissolving it in juice.

Mixing it in applesauce or soft food.

Adding it to water.

Sprinkling it on meat or vegetables.

Answer and Explanation

The Correct Answer is B

Choice A reason: Juice may alter absorption; liquid can dilute or degrade some drugs, and taste may deter intake, reducing effectiveness compared to soft food.

Choice B reason: Applesauce masks taste and aids swallowing; it ensures crushed medication is consumed fully, maintaining dose integrity without altering pharmacokinetics significantly.

Choice C reason: Water may not mask bitterness; some drugs dissolve poorly or lose potency, and patients may not finish it, risking incomplete dosing.

Choice D reason: Meat or vegetables may bind drugs; uneven distribution or strong flavors could reduce intake, compromising the full therapeutic dose delivery.

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Correct Answer is A

Explanation

Choice A reason: Zestril at 5 mg per tablet is common; strength is the dose per unit, and this matches typical labeling for hypertension management effectively.

Choice B reason: 10 mg is a Zestril strength but not assumed here; without label confirmation, 5 mg is the base unit from prior context, not this option.

Choice C reason: 15 mg isn’t standard for Zestril tablets; it’s a total dose possibility, not a per-tablet strength, mismatching typical medication packaging norms.

Choice D reason: 20 mg exists for Zestril but isn’t the default; 5 mg aligns with the supplied strength in earlier questions, making it the likely label.

A. Ask another licensed nurse to check the dose. B. Sign out the drug on a narcotic control inventory sheet. C. Leave the medication in a cup at the bedside. D. Tell the patient to drink extra water with the pill.

Correct Answer is B

Explanation

Choice A reason: Checking with another nurse may occur, but it’s not mandatory for all schedule II drugs; documentation is the primary legal responsibility to track controlled substances accurately.

Choice B reason: Signing out on a narcotic sheet is required; schedule II drugs like opioids need strict tracking to prevent diversion, ensuring accountability per federal and hospital regulations.

Choice C reason: Leaving medication at the bedside violates security; schedule II drugs must remain controlled, as unattended narcotics risk theft or misuse, breaching safety protocols entirely.

Choice D reason: Extra water is irrelevant to responsibility; it’s a hydration tip, not a legal or safety duty tied to administering highly regulated schedule II controlled substances.

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The nurse is going to administer a medication that must be crushed for the patient to take it. This medication is best given to the patient by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Using the label, what is the strength of the medication? (No label; assuming Zestril from prior context.)

Correct Answer is A

Explanation

A nurse has an order to administer a schedule II drug to a patient. When working with medications of this type, the responsibility of the nurse is to:

Correct Answer is B

Explanation

Which of the following patients is most at risk for liver damage after taking acetaminophen regularly for arthritis pain?

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