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2 weeks ago
A patient has a gastrostomy tube, and the pharmacy has delivered an extended-release tablet. What is the most appropriate action taken by the nurse?
A)Administer the medication orally.
B)Administer the medication through the tube.
C)Crush the medication and administer half of it at a time.
D)Call the pharmacy to obtain an immediate-release form.
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Abrams' Clinical Drug Therapy: Rationales for Nursing Practice
Edition: 10th
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The most important nursing action is to call the pharmacy to determine whether a liquid or a nonextended-release tablet can be substituted. Extended-release tablets should never be crushedthe patient would be placed at risk for overdose or potentially serious adverse effects or death. If the patient has a gastrostomy tube, then he or she cannot swallow and cannot take the pill orally. The medication cannot be administered through the tube because it will obstruct the tube.

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