The nurse is preparing medications for a patient who cannot swallow pills. Nursing care would be correct if the nurse determines which of the following medications cannot be crushed? (Select all that apply.)
a. Capsule
b. Scored tablet
c. Enteric-coated tablet
d. Buccal tablet
A, C, D
Capsules and enteric-coated tablets are not crushed because the coating of these drugs protects the stomach from irritation or protects the drug from destruction by stomach acids. The buccal tablet needs to dissolve or remain in the mouth for proper absorption. The nurse can crush the scored tablet because the medication absorption will not be altered.
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At 1000 a nurse receives 2 units of blood for a patient to be transfused. What is the most appropriate nursing action?
a. Set up 1 unit for the infusion to start by 1030 and send the other unit back until the first one has infused b. Set up both units to infuse at the same time and to start at 1100. c. Set up one unit for infusion and place the other in the refrigerator for the later infu-sion. d. Send both units back and ask for a reissue of 1 unit only.
Which of the following adverse effects may occur in the patient receiving a loop diuretic such as bumetanide (Bumex)?
a. Hypervolemia b. Hyperkalemia c. Hyponatremia d. Hypoglycemia
What is the priority nursing diagnosis for a client with inadequate production of platelets?
A. Decreased Cardiac Output related to hypovolemia B. Risk for Injury related to increased bleeding tendency C. Risk for Infection related to decreased antibody production D. Impaired Gas Exchange related to decreased oxygen-carrying capacity
A nurse is reviewing the history and physical of a teenager admitted to a hospital with a diagnosis of ulcerative colitis. Based on this diagnosis, which information should the nurse expect to see on this client's medical record?
A. Abdominal pain and bloody diarrhea. B. Weight gain and elevated blood glucose. C. Abdominal distention and hypoactive bowel sounds. D. Heartburn and regurgitation.