The nurse is preparing to administer a chewable tablet to a preschool-age child. The child's parent reports always crushing the tablet and mixing it with pudding when giving it at home. What is the nurse's next action?
Ask the pharmacist if the drug may be crushed.
Crush the tablet and mix it with pudding.
Insist that the tablet must be chewed as ordered.
Request a liquid form of the medication from the pharmacy.
The Correct Answer is A
a) The safest action is to consult the pharmacist to determine if the chewable tablet can be crushed without affecting its efficacy or safety. Some chewable tablets must be chewed for proper absorption, while others may be safely crushed.
b) Crushing the tablet without verifying its safety could alter the drug's effectiveness or cause adverse effects, so it should not be done without confirmation.
c) Insisting that the tablet be chewed disregards the child’s potential difficulty with chewing, which may lead to refusal or improper administration.
d) Requesting a liquid form could be an alternative, but it is not the immediate next step. Some medications may not be available in liquid form, so checking with the pharmacist first is the appropriate action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) The six rights of medication administration—right patient, right medication, right dose, right route, right time, and right documentation—help ensure patient safety by reducing medication errors. This is a fundamental nursing practice to prevent adverse drug reactions, overdoses, or omissions.
b) Informed consent is important but is not directly related to the six rights of medication administration. It is typically obtained before administering high-risk medications or treatments.
c) While proper medication administration includes patient education, the six rights primarily focus on safety rather than the adequacy of information given.
d) The six rights do not focus on cost-effectiveness but rather on the accurate and safe administration of drugs.
Correct Answer is D
Explanation
A. The ages and relationships of household members are subjective data because they are reported by the patient and not directly measured or observed.
B. Usual dietary patterns and intake are also subjective data, as they rely on patient self-reporting rather than measurable, verifiable findings.
C. A list of herbal supplements regularly used is subjective because it depends on the patient’s recall and self-reporting rather than objective measurement.
D. Lab values are considered objective data because they are measurable, verifiable, and obtained through diagnostic testing rather than patient self-reporting. Objective data are based on observable and quantifiable factors, making them more reliable for clinical decision-making.
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