A charge nurse is discussing the guidelines for narcotic medications with a newly licensed nurse. Which of the following information should the charge nurse include?
Verify the narcotic inventory count every 8 hr
Dispose of unused medication in the sharps container
Request an AP to witness the disposal of wasted medication
Report discrepancies in the narcotic inventory to the nurse manager
The Correct Answer is D
A. Verify the narcotic inventory count every 8 hr: Narcotic counts are typically verified at the beginning and end of each shift or according to facility policy, not strictly every 8 hours. This statement is partially correct but not comprehensive for safe practice.
B. Dispose of unused medication in the sharps container: Unused narcotics must be disposed of according to controlled substance regulations, usually requiring a witness and proper documentation. Disposal in a sharps container alone is inappropriate and unsafe.
C. Request an AP to witness the disposal of wasted medication: Witnessing narcotic disposal requires another licensed nurse, not an assistive personnel. Regulations mandate accountability by trained healthcare professionals to prevent diversion.
D. Report discrepancies in the narcotic inventory to the nurse manager: Any discrepancies in narcotic counts must be reported immediately to maintain compliance with controlled substance regulations, ensure patient safety, and prevent diversion. This is a primary responsibility of nurses handling narcotics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Ground beef: Ground beef provides protein and iron but contains very little calcium, which is the primary nutrient of concern when dairy products are removed from the diet. Eliminating dairy increases the risk of inadequate calcium intake, and ground beef does not help replace this deficit. It does not address the nutritional gap caused by lactose intolerance.
B. Peanut butter: Peanut butter offers healthy fats and some protein but is not a meaningful source of calcium. While it can contribute to overall calorie and nutrient intake, it does not compensate for the loss of dairy-derived calcium. Relying on peanut butter alone would leave the client at risk for long-term bone health issues.
C. Kale: Kale is rich in calcium and is easily absorbed by the body, making it an ideal substitute when dairy intake is restricted. Including kale regularly helps maintain adequate calcium levels to support bone strength and neuromuscular function. It offers a plant-based solution that aligns well with the dietary needs of someone with lactose intolerance.
D. Canoes: Canoes are not a known food source and provide no nutritional relevance in replacing nutrients lost from eliminating dairy. They do not offer calcium or other minerals commonly supplied by milk or dairy products. This option does not support dietary adjustments needed to prevent nutrient deficiencies.
Correct Answer is A
Explanation
A. "My baby should have at least three bowel movements per day after 4 days of age.": This statement reflects correct understanding. By the fourth day of life, a healthy, breastfed newborn typically passes at least three yellow, seedy stools per day, indicating adequate intake and gastrointestinal function.
B. "I should expect my baby to make a grunting sound when breathing": Grunting is a sign of respiratory distress in a newborn and is not expected in a healthy infant. The client should be taught to report any abnormal respiratory sounds immediately.
C. "I should put my baby on a feeding schedule.": Newborns should feed on demand rather than on a strict schedule to ensure adequate nutrition and support breastfeeding. Rigid scheduling can lead to insufficient intake and dehydration.
D. "My baby should sleep for at least 4 hours between feedings during the night.": Newborns typically need to feed every 2–3 hours, including at night. Expecting the infant to sleep for 4 hours between feeds may indicate misunderstanding of normal feeding patterns and could result in inadequate caloric intake.
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