NURS 3100 Exam 1 Practice

What is the best response by the nurse if a patient receiving a sustained-release capsule for a cardiac condition cannot swallow the large pill?

1. I will open the capsule and sprinkle the contents over some applesauce for you to eat

2. It may be difficult, but try to swallow the capsule as it is the best medicine for your heart condition

3. Let me contact your physician to see if a change can be made

4. Place the capsule on the back of your tongue, and drink a full glass of water

The correct answer is: Let me contact your physician to see if a change can be made

If a patient is unable to swallow a sustained-release capsule, the best response by the nurse is to contact the physician to discuss alternative options. Opening or crushing sustained-release capsules can affect the intended slow release of the medication, potentially leading to an overdose or ineffectiveness. Instructing the patient to try and swallow the pill or placing it on the back of the tongue with water are not safe or appropriate responses. Contacting the physician ensures the patient's safety while also considering alternative forms of the medication that may be easier for the patient to take.