The patient is receiving a sustained-release capsule for his cardiac condition. The patient tells the nurse there is no way he can swallow such a large pill. What is the best response by the nurse?
1. "Let me contact your physician to see if a change can be made."
2. "Place the capsule on the back of your tongue, and drink a full glass of water."
3. "I will open the capsule and sprinkle the contents over some applesauce for you to eat."
4. "It may be difficult, but try to swallow the capsule as it is the best medicine for your heart condition."
1
Rationale 1: The only option is to contact the physician.
Rationale 2: Placing the capsule on the back of the patient's tongue and having him drink a full glass of water may cause the patient to aspirate the capsule and/or the water.
Rationale 3: Sustained-release medications cannot be opened and sprinkled on food.
Rationale 4: Encouraging the patient to try to swallow the capsule is coercive and may result in the patient choking on the medication.
Global Rationale: The only option is to contact the physician. Sustained-release medications cannot be opened and sprinkled on food. Placing the capsule on the back of the patient's tongue and having him drink a full glass of water may cause the patient to aspirate the capsule and/or the water. Encouraging the patient to try to swallow the capsule is coercive and may result in the patient choking on the medication.
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