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Multiple Choice

What is the priority concern when a tablet is crushed and mixed in 3 ounces of applesauce for a nine-month-old?

The most important issue here is the amount of liquid given in one dose to a nine-month-old. Infants have a small stomach capacity, and a 3-ounce amount of applesauce with a crushed tablet can be more than they can tolerate at once. Delivering that much volume in a single dose increases the risk of discomfort, regurgitation, and potentially choking or aspiration if the infant does not swallow promptly. While crushing a tablet can have implications for how the medication releases and is absorbed, and while taste and compatibility with the vehicle matter, the immediate safety concern is the large volume. Smaller, age-appropriate dosing and using a formulation suitable for infants are preferred.

The most important issue here is the amount of liquid given in one dose to a nine-month-old. Infants have a small stomach capacity, and a 3-ounce amount of applesauce with a crushed tablet can be more than they can tolerate at once. Delivering that much volume in a single dose increases the risk of discomfort, regurgitation, and potentially choking or aspiration if the infant does not swallow promptly.

While crushing a tablet can have implications for how the medication releases and is absorbed, and while taste and compatibility with the vehicle matter, the immediate safety concern is the large volume. Smaller, age-appropriate dosing and using a formulation suitable for infants are preferred.