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Nurse Dive Free Nursing Practice Question
A nurse is administering an oral medication to a patient with dysphagia. What is the most appropriate action to ensure safe administration?
A. Assess the patient's ability to swallow before administration.
Assess the patient's ability to swallow before administration: Evaluating the patient’s swallowing ability is the first and most important step to prevent choking, aspiration, or medication errors. This assessment guides whether modifications to the route or form are necessary.
B. Change the route to intravenous administration without consulting the provider.
Change the route to intravenous administration without consulting the provider: Altering the route without provider approval can be unsafe and may lead to incorrect dosing or adverse effects. Route changes require an order and clinical judgment.
C. Crush the medication and mix it with water or applesauce.
Crush the medication and mix it with water or applesauce: Crushing may be appropriate for some medications, but not all (e.g., extended-release or enteric-coated forms). This action should only be taken after assessing swallowing ability and verifying the medication can safely be altered.
D. Administer the medication with a large glass of juice to ensure it is swallowed.
Administer the medication with a large glass of juice to ensure it is swallowed: Simply giving fluids does not address dysphagia risk and may not prevent aspiration. Proper assessment and potentially alternative administration strategies are needed for safety.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Lpn Med Math Proctored Exam. Take the full exam now
Full Explanation
Rationale:
A. Assess the patient's ability to swallow before administration: Evaluating the patient’s swallowing ability is the first and most important step to prevent choking, aspiration, or medication errors. This assessment guides whether modifications to the route or form are necessary.
B. Change the route to intravenous administration without consulting the provider: Altering the route without provider approval can be unsafe and may lead to incorrect dosing or adverse effects. Route changes require an order and clinical judgment.
C. Crush the medication and mix it with water or applesauce: Crushing may be appropriate for some medications, but not all (e.g., extended-release or enteric-coated forms). This action should only be taken after assessing swallowing ability and verifying the medication can safely be altered.
D. Administer the medication with a large glass of juice to ensure it is swallowed: Simply giving fluids does not address dysphagia risk and may not prevent aspiration. Proper assessment and potentially alternative administration strategies are needed for safety.
Similar Questions
A patient is to receive 900 mg of a drug, supplied as 300 mg tablets. How many tablets should be administered?
A. 2 tablets
Calculation: Ordered Dose = 900 mg Available Dose = 300 mg Number of tablets = Ordered Dose / Available Dose = 900 / 300 = 3 tablets
B. 5 tablets
Calculation: Ordered Dose = 900 mg Available Dose = 300 mg Number of tablets = Ordered Dose / Available Dose = 900 / 300 = 3 tablets
C. 3 tablets
Calculation: Ordered Dose = 900 mg Available Dose = 300 mg Number of tablets = Ordered Dose / Available Dose = 900 / 300 = 3 tablets
D. 4 tablets
Calculation: Ordered Dose = 900 mg Available Dose = 300 mg Number of tablets = Ordered Dose / Available Dose = 900 / 300 = 3 tablets
Full Explanation
Calculation:
Ordered Dose = 900 mg
Available Dose = 300 mg
Number of tablets = Ordered Dose / Available Dose
= 900 / 300
= 3 tablets
What information on a drug label is essential for avoiding drug interactions?
A. Lot number
Lot number: The lot number identifies a specific production batch for tracking purposes but does not provide information about potential drug interactions.
B. Storage conditions
Storage conditions: Storage instructions ensure drug stability and efficacy but do not indicate interactions with other medications.
C. Manufacturer's address
Manufacturer's address: The manufacturer’s contact information is useful for reporting issues or inquiries but does not help prevent drug interactions.
D. Active ingredients
Active ingredients: Knowing the active ingredients allows the nurse to identify potential interactions with other medications the patient is taking. This information is crucial for preventing harmful effects, duplications, or contraindicated combinations.
Full Explanation
Rationale:
A. Lot number: The lot number identifies a specific production batch for tracking purposes but does not provide information about potential drug interactions.
B. Storage conditions: Storage instructions ensure drug stability and efficacy but do not indicate interactions with other medications.
C. Manufacturer's address: The manufacturer’s contact information is useful for reporting issues or inquiries but does not help prevent drug interactions.
D. Active ingredients: Knowing the active ingredients allows the nurse to identify potential interactions with other medications the patient is taking. This information is crucial for preventing harmful effects, duplications, or contraindicated combinations.
What is the metric prefix for one-thousandth (0.001)?
A. Centi-
Centi-: The prefix "centi-" represents one-hundredth (0.01) of a unit, not one-thousandth.
B. Micro-
Micro-: "Micro-" represents one-millionth (0.000001) of a unit, which is much smaller than one-thousandth.
C. Deci-
Deci-: "Deci-" denotes one-tenth (0.1) of a unit, not one-thousandth.
D. Milli-
Milli-: "Milli-" represents one-thousandth (0.001) of a unit, making it the correct metric prefix for this value, commonly used in milligrams (mg) and milliliters (mL).
Full Explanation
Rationale:
A. Centi-: The prefix "centi-" represents one-hundredth (0.01) of a unit, not one-thousandth.
B. Micro-: "Micro-" represents one-millionth (0.000001) of a unit, which is much smaller than one-thousandth.
C. Deci-: "Deci-" denotes one-tenth (0.1) of a unit, not one-thousandth.
D. Milli-: "Milli-" represents one-thousandth (0.001) of a unit, making it the correct metric prefix for this value, commonly used in milligrams (mg) and milliliters (mL).