The nurse is preparing oral medications for administration. Which action by the nurse is appropriate?
a. Using a cutting device to cut scored tablets
b. Unwrapping all of the medications to be given and placing them together in a cup
c. Crushing capsules and enteric-coated medication for easier swallowing
d. Holding the medication cup at eye level to pour a liquid dosage
A
If you have to break a medication to administer half the dosage, use a clean, gloved hand to break the tablet or cut it with a cutting device. Tablets that are to be broken in half must be pre-scored by a manufactured line that transverses the center of the tablet. Tablets that are not pre-scored cannot be broken into equal halves, and the result will be an inaccurate dose. Using a cutting device results in a more even split of the tablet. Wrappers maintain the cleanliness of medications and identify drug name and dose. Not all drugs can be crushed (e.g., capsules, enteric-coated, long-acting/slow-release drugs). The coating of these drugs protects the stomach from irritation or protects the drug from destruction by stomach acids. Liquid medications poured from a stock bottle should be poured into a medication cup that is placed at eye level on a flat surface.
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