Why do you think XR, ent, DR, SR, and SL tablets should never be crushed?

What will be an ideal response?


Crushing these tablets would cancel the delayed or extended or sustained release. The patient might then have an adverse drug event from the side effects of too much of the medication being released and absorbed too soon. The medication may be very irritating to the mucosa of the GI tract if broken down before it leaves the esophagus or stomach.

Nursing

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The nurse is caring for a client who has been diagnosed with a cerebrovascular accident and as a result has been immobilized for 4 weeks. The nurse knows which of the following statements listed below is associated with the client's immobilized state?

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An adult patient will begin taking atomoxetine [Strattera] for attention-deficit/hyperactivity disorder. What will the nurse teach this patient?

a. Appetite suppression does not occur, be-cause this drug is not a stimulant. b. Stopping the drug abruptly will cause an abstinence syndrome. c. Suicidal thoughts may occur and should be reported to the provider. d. Therapeutic effects may not be felt for 1 to 3 weeks after beginning therapy.

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What type of diarrhea is associated with an inflammation of the mucosa and submucosa in the ileum and colon caused by infectious agents?

a. Osmotic b. Secretory c. Cytotoxic d. Dysenteric

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The nurse is caring for a client immediately following a cesarean section. When the baby is placed in her arms for the first time, the nurse notes that the mother touches him with her fingertips only, and recognizes this as:

A) an early sign of rejection. B) evidence that the mother is in pain. C) normal bonding progression. D) a symptom of postpartum blues.

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