A nurse is administering medications to a client who has dysphagia and a new prescription for divalproex sodium sprinkle capsules. Which of the following actions should the nurse take?

Choice A reason: Crushing divalproex sodium capsules is contraindicated because it alters the pharmacological integrity of the medication. Crushing can destroy the extended-release properties, leading to rapid absorption and increased risk of toxicity. This makes the option unsafe. Choice B reason: Placing the medication under the tongue is inappropriate because divalproex sodium is not formulated for sublingual administration. Sublingual placement would not provide proper absorption and could irritate mucous membranes. Choice C reason: Chewing the medication before swallowing is incorrect because it disrupts the capsule’s design, leading to altered absorption and potential gastrointestinal irritation. Chewing can also cause a bitter taste and reduce compliance. Choice D reason: Administering sprinkle capsules with applesauce is the correct action. The capsule contents can be sprinkled onto soft food like applesauce, which facilitates swallowing in clients with dysphagia while maintaining the medication’s integrity. This method ensures proper absorption and safety, making it the best choice.