A nurse teaches the client about the prescribed buccal medication. Which statement by the client indicates teaching by the nurse is successful?
"I should let the medication dissolve completely."
"I can only drink water, not juice, with this medication."
"I better chew my medication first for faster distribution."
"I will place the medication in the same location."
The Correct Answer is A
A) "I should let the medication dissolve completely": This statement is correct and indicates that the client understands the proper administration of buccal medication. Buccal medications are designed to dissolve slowly between the gum and cheek, allowing for absorption directly into the bloodstream.
B) "I can only drink water, not juice, with this medication": This option is not accurate for buccal medications. While it is important to avoid swallowing the medication prematurely, there are generally no restrictions against consuming juice unless specified by the healthcare provider.
C) "I better chew my medication first for faster distribution": This statement indicates a misunderstanding. Buccal medications should not be chewed, as this can interfere with the intended slow release and absorption of the medication.
D) "I will place the medication in the same location": While placing the medication in the buccal pouch is important, it is not necessary to place it in the same exact spot every time. Rotating the site can help prevent irritation. This statement does not indicate a complete understanding of the proper technique.
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Correct Answer is B
Explanation
A) Ask the client if he would prefer to give the medication to himself: While involving the client in their care is important, this option does not assess the client’s ability to safely take the medication. The nurse should first ensure that the client can swallow the medication safely.
B) Assess the swallowing reflex by offering a sip of water: This is the correct action. Assessing the swallowing reflex is essential, especially in older adults, to determine if they can safely swallow liquid medications without risk of aspiration.
C) Mix thoroughly in applesauce or pudding: This option is not appropriate unless specifically ordered or indicated. Mixing medications in food may not be suitable for all clients, and it can affect the medication's absorption or effectiveness. Additionally, it does not assess the client's swallowing ability.
D) Assess the ability to understand information relative to the medication: While this is important, it is secondary to ensuring that the client can physically take the medication safely. Assessing understanding can occur after confirming the client’s ability to swallow the medication.
Correct Answer is A
Explanation
A) Discard the pill and get another from the dose pack: This option is the most appropriate action. Once a pill has fallen onto the bed linens, it may be contaminated and should not be administered to the client. The nurse should discard the dropped pill and provide a new one to ensure patient safety and maintain hygiene standards.
B) Scoop up the pill in a soufflé cup and hand the cup to the client: This action is inappropriate as it fails to address potential contamination. A pill that has fallen onto bedding may carry bacteria or other pathogens, so it should not be given to the client even if it is retrieved in a different container.
C) Retrieve the pill from the linens and allow the client to take it: This option is unsafe and violates infection control protocols. Giving a pill that has been dropped on bedding poses a risk of contamination and should be avoided.
D) Report the loss of the pill as a medication error: While reporting medication errors is important, in this case, the action taken (discarding the pill and providing a new one) aligns with best practices. The loss of one pill due to a drop does not constitute a medication error in the same sense as an administration mistake, so this option is not necessary.