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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. The FDA is responsible for regulating and ensuring the safety and efficacy of drugs, medical devices, and other health-related products. All medications must undergo rigorous scientific testing and approval processes overseen by the FDA before they can be marketed to the public.
B. The DEA regulates controlled substances and enforces laws related to drug abuse, but it does not control the scientific testing of medications.
C. The CDC focuses on public health and disease prevention, not the regulation or testing of medications.
D. The Joint Commission accredits healthcare organizations but does not directly oversee the scientific testing of medications.

A. Encouraging increased fluid intake B. Increasing activity and exercise C. Initiating a fall risk protocol D. Providing a low potassium diet

Correct Answer is C

Explanation

a) Encouraging increased fluid intake is not always appropriate for a patient on a thiazide diuretic, as these drugs promote fluid loss. Excess fluid intake may not be beneficial unless there are signs of dehydration.

b) Increasing activity and exercise can be beneficial for overall health, but the priority is ensuring safety due to the risk of orthostatic hypotension and falls.

c) Initiating a fall risk protocol is crucial because thiazide diuretics can cause hypotension, dizziness, and electrolyte imbalances, all of which increase the risk of falls, particularly in older adults.

d) Providing a low potassium diet is inappropriate, as thiazide diuretics can lead to hypokalemia (low potassium levels), so monitoring and possibly increasing potassium intake may be necessary.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

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