The nursing assessment identifies that the client is nauseated and cannot take acetaminophen (Tylenol) orally. Which is true regarding the substitution of this medication to suppository form?
a. It is standard practice when the patient is unable to take the ordered medication.
b. It is acceptable if the patient agrees to the altered route form.
c. It is preferable to having the patient miss a dose of the medication.
d. It is contraindicated without an order from the health care provider.
ANS: D
One dosage form of medication should never be substituted for another unless the prescriber is consulted; there can be a great variation in the absorption rate of the medication through different routes of administration. The substitution of one form for another is not standard practice and is not acceptable or preferable without the prescriber's order.
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