Which of the following medications should be administered whole (e.g., not divided or crushed for administration)?
A capsule
A scored tablet
An unscored tablet
A lozenge
The Correct Answer is D
A lozenge is a type of medication that is designed to dissolve slowly in the mouth, usually to treat sore throat, cough, or oral infections. It should not be divided or crushed for administration because it may alter its effectiveness, taste, or absorption. It should also not be swallowed whole because it may cause choking or irritation.
A capsule is a type of medication that consists of a gelatin shell enclosing a powder or liquid. It can be opened and sprinkled on soft food or mixed with water for administration unless it is an extended-release or enteric-coated capsule.
A scored tablet is a type of medication that has a groove or indentation on its surface to facilitate breaking into equal halves or quarters. It can be divided along the score line for administration unless it is an extended-release or enteric-coated tablet.
An unscored tablet is a type of medication that does not have a groove or indentation on its surface. It can be crushed or cut into smaller pieces for administration unless it is an extended-release or enteric-coated tablet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct technique for preparing this insulin order is to follow these steps¹²:
- Perform hand hygiene and put on gloves.
- Mix NPH (cloudy) insulin by gently rotating the vial between the palms of your hands. Do not shake the vial.
- Clean the tops of both vials with alcohol swabs and let them dry.
- Draw up the amount of air equal to the dose of NPH insulin into a syringe. Inject the air into the NPH vial without touching the needle to the solution. Withdraw the needle and syringe without drawing up any insulin. This will create positive pressure in the NPH vial and make it easier to draw up later.
- Draw up the amount of air equal to the dose of regular (clear) insulin into the same syringe. Inject the air into the regular vial and invert the vial. Make sure the needle tip is below the fluid level and draw up slightly more than the dose of regular insulin. Tap the syringe gently to remove any air bubbles and push out any excess insulin to get the exact dose. Withdraw the needle and syringe from the regular vial.
- Reinsert the needle and syringe into the NPH vial without touching the needle to the solution. Invert the vial and draw up slightly more than the dose of NPH insulin. Tap the syringe gently to remove any air bubbles and push out any excess insulin to get the exact dose. Withdraw the needle and syringe from the NPH vial.
- Check that you have the correct doses of both insulins in one syringe. The total volume should be equal to the sum of both doses.
- Administer the dose within 5 to 10 minutes after drawing up because regular insulin binds to NPH and this decreases its action.
Correct Answer is C
Explanation
The instruction that should be given to this client for the effective management of hypertension is to take
**five tablets** of bisoprolol per day, each containing 100 mg.
This is because the new order of 500 mg of bisoprolol per day is twice as much as the current dose of 250 mg of bisoprolol per day (two and a half tablets of 100 mg each). Therefore, the client needs to double the number of tablets they take per day from two and a half to five.
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