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.

Answer and Explanation

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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Correct Answer is A

Explanation

A. Breath sounds should be assessed first because naloxone is administered to reverse respiratory depression caused by opioid toxicity. Ensuring that the client is breathing adequately is the top priority.
B. Blood pressure is important to monitor, but it is not the immediate priority after administering naloxone. Respiratory status takes precedence.
C. Heart rate is also important to monitor, but it is secondary to ensuring adequate respiration.
D. Pain level should be assessed, but it is not the immediate priority following naloxone administration. The primary concern is the client’s respiratory status.

A. Diarrhea is a common adverse effect of opioids. B. Opioids can increase urinary output. C. Long-term use of opioids may cause dependence. D. Tolerance to opioids will require a decreased dose.

Correct Answer is C

Explanation

A. Diarrhea is a common adverse effect of opioids. This statement is incorrect. Opioids commonly cause constipation, not diarrhea, as they slow down gastrointestinal motility.
B. Opioids can increase urinary output. This statement is incorrect. Opioids can actually cause urinary retention rather than increasing urinary output.
C. Long-term use of opioids may cause dependence. This statement is correct. Long-term use of opioids can lead to physical dependence, where the body adapts to the drug, and withdrawal symptoms occur if the drug is abruptly discontinued.
D. Tolerance to opioids will require a decreased dose. This statement is incorrect. Tolerance to opioids means that over time, higher doses of the drug are needed to achieve the same level of pain relief, not a decreased dose.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?

Correct Answer is A

Explanation

A nurse is educating a client about pain management with opioids. Which of the following information should the nurse include?

Correct Answer is C

Explanation

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