An older patient asks why sustained-release pain medication cannot be chewed. How should the nurse respond to this patient? Standard Text: Select all that apply
1. Chewing deactivates the medication.
2. The medication is damaging to the teeth and gums.
3. Chewing destroys their controlled-release properties.
4. The saliva in the mouth breaks the medication down and makes it toxic.
5. Chewing causes a rapid absorption of the entire dose and a possible overdose.
3,5
Rationale: Chewing sustained-release preparations of analgesics destroys their controlled-release properties and causes rapid absorption of the entire dose, resulting in possible overdose. Chewing does not deactivate the medication.
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