Share This Link

A rationale: While it’s true that crushing an enteric-coated medication can cause stomach upset, this is not the primary reason for not crushing the medication.

B rationale: Crushing the medication and mixing it with food is not recommended because it would disrupt the enteric coating, leading to rapid absorption of the medication.

D rationale: The enteric coating is designed to protect the medication from stomach acid, so crushing the medication would not necessarily cause it to be inactivated by stomach acid.

A rationale: Montelukast is a leukotriene receptor antagonist used for the prophylaxis and chronic treatment of asthma, not for aborting an ongoing attack.

B rationale: Fluticasone is a corticosteroid used for the long-term management of asthma symptoms, not for immediate relief of an ongoing attack.

C rationale: Cromolyn is a mast cell stabilizer used for the prophylaxis of asthma, not for aborting an ongoing attack.

A rationale: Serum cholesterol is not directly affected by furosemide, a loop diuretic.

B rationale: Serum amylase is not directly affected by furosemide.

D rationale: Serum triglyceride is not directly affected by furosemide.

B rationale: Holding the medication until the client has his evening meal is not appropriate because the client’s potassium level is already high.

C rationale: Giving the medication as prescribed is not appropriate because the client’s potassium level is already high.

D rationale: Obtaining a prescription to increase the dosage of the medication is not appropriate because the client’s potassium level is already high.

A rationale: Pulling the auricle upward and outward is the correct method for adults and children over 3 years old.

B rationale: Pulling the auricle down and outward is not the correct method for any age group.

D rationale: Pulling the auricle upward and backward is not the correct method for children under 3 years old.

A rationale: Migraine is not a contraindication for propranolol. In fact, propranolol is often used to reduce the severity and frequency of migraine headaches.

B rationale: Depression is not a contraindication for propranolol.

C rationale: Glaucoma is not a contraindication for propranolol.

A rationale: Propranolol is a beta-blocker and does not typically cause a cough. This is more common with ACE inhibitors.

C rationale: Propranolol can lower heart rate, but a heart rate greater than 70/min is normal and not a reason to stop taking the medication.

D rationale: While regular weight monitoring is important for patients taking medications that can cause fluid retention, propranolol is not typically associated with this side effect.

A rationale: Nifedipine is a calcium channel blocker used to treat hypertension, so a BP of 148/94 mm Hg is an expected finding.

B rationale: Peripheral edema of the ankles can be a side effect of nifedipine.

C rationale: A heart rate of 66/min is within the normal range (60-100 beats per minute).

A rationale: The list obtained from the client should include all medications the client is taking, regardless of who prescribed them.

B rationale: The reconciliation process should be completed at each transition of care, not just at admission.

D rationale: Nurses should not write verbal orders for medications. This is the responsibility of the provider.

A rationale: Applying pressure to the tragus of the ear can help move the liquid in deeper. Therefore, this statement is incorrect.

C rationale: Sterile gloves are not necessary when administering ear drops. Therefore, this statement is incorrect.

D rationale: Ear drops should be at room temperature. If they’re too cold or hot, they can make you feel dizzy and disoriented. Therefore, this statement is incorrect.