A nurse administers 2 mg of morphine out of a vial containing 4 mg. Which of the following actions should the nurse take with the remaining medication in the vial?
Store the medication for the client’s next dose.
Discard the medication in a sharps container.
Return the medication to the pharmacy.
Dispose of the medication as waste in an approved receptacle.
The Correct Answer is D
A. Store the medication for the client’s next dose. This action is incorrect because storing a partially used vial of morphine can lead to contamination and is not standard practice for controlled substances.
B. Discard the medication in a sharps container. This action is incorrect because sharps containers are intended for needles and other sharp objects, not for liquid medications.
C. Return the medication to the pharmacy. This action is not typically required for small amounts of unused medication. The proper disposal method should be followed instead.
D. Dispose of the medication as waste in an approved receptacle. This action is correct. Unused portions of controlled substances like morphine should be disposed of according to facility policy, often involving a witness to ensure proper disposal and prevent misuse.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Return the remaining medication to the facility’s pharmacy. This action is not appropriate because it is not standard practice to return partially used medications to the pharmacy.
B. Dispose of the remaining medication while another nurse observes. This action is correct. Proper disposal of controlled substances like hydromorphone requires witnessing by another nurse to ensure accountability and prevent misuse.
C. Store the remaining half of the pill in the automated medication dispensing system. This action is not appropriate because storing a half tablet in the dispensing system can lead to contamination and dosing errors.
D. Place the remaining half of the pill in the unit-dose package. This action is not appropriate because it does not ensure proper disposal and could lead to medication errors or misuse.
Correct Answer is D
Explanation
A. Increased appetite can be a positive sign but is not a direct indicator of spironolactone’s effectiveness in treating cirrhosis-related complications.
B. Decreased jaundice is a positive sign but is not the primary indicator of spironolactone’s effectiveness. Jaundice is more directly related to liver function.
C. Increased energy can indicate overall improvement but is not specific to the effects of spironolactone.
D. Decreased ascites is a direct indicator that spironolactone is effective. Spironolactone is a diuretic used to reduce fluid accumulation in the abdomen (ascites) associated with liver cirrhosis. A reduction in ascites indicates that the medication is working as intended.
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