Which statement by a client prescribed extended-release oxycodone indicates correct understanding of safe medication use?
1If swallowing becomes difficult, I can split the tablet and take both halves together.
2I will take the extended-release tablet only when breakthrough pain becomes severe.
3A bedtime benzodiazepine or alcoholic drink is safe after my opioid dose has stabilized.
4I will swallow each tablet whole, avoid alcohol or unapproved sedatives, and store it securely.✓ Correct answer
Explanation
Extended-release oxycodone tablets must be swallowed whole because cutting, crushing, chewing, or dissolving them can release a potentially fatal dose. They are taken on the prescribed schedule rather than as needed for breakthrough pain. Alcohol, benzodiazepines, and other central nervous system depressants can cause profound sedation and respiratory depression, and the medication must be stored securely to prevent accidental ingestion or diversion.
Clinical reasoning Manipulating an extended-release oxycodone tablet defeats its controlled-release design and can deliver a dangerous dose rapidly. Other CNS depressants add to respiratory depression risk.
Decision rule Swallow whole, take only as prescribed, avoid alcohol or unsupervised sedatives, and store the opioid where children and other people cannot access it.