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. Monitor the client’s oxygen saturation is crucial when administering diazepam for sedation. Diazepam can cause respiratory depression, so monitoring oxygen saturation helps ensure the client is receiving adequate oxygen.
B. Monitor the client for seizure activity is not necessary in this context. Diazepam is actually used to treat seizures, so it is unlikely to cause them as an adverse reaction.
C. Check the client’s urinary output is important for overall health but is not specifically related to monitoring for adverse reactions to diazepam.
D. Auscultate the client’s bowel sounds is not relevant for assessing adverse reactions to diazepam. Bowel sounds are more related to gastrointestinal function.

A. “Exercise caution when changing positions.” B. “Increase the amount of sodium in your diet.” C. “Take a daily potassium supplement.” D. “Monitor your pulse rate before taking medication.”

Correct Answer is A

Explanation

A. “Exercise caution when changing positions.” This statement is correct because captopril, an ACE inhibitor, can cause orthostatic hypotension, which is a sudden drop in blood pressure when changing positions. Patients should be advised to rise slowly from sitting or lying positions to prevent dizziness and falls.
B. “Increase the amount of sodium in your diet.” This statement is incorrect because increasing sodium intake can counteract the blood pressure-lowering effects of captopril. Patients are usually advised to maintain a low-sodium diet to help manage their blood pressure effectively.
C. “Take a daily potassium supplement.” This statement is incorrect because captopril can increase potassium levels in the blood, potentially leading to hyperkalemia. Patients should be advised to avoid potassium supplements and potassium-rich foods unless directed by their healthcare provider.
D. “Monitor your pulse rate before taking medication.” This statement is incorrect because monitoring pulse rate is not typically necessary for patients taking captopril. The primary concern with captopril is blood pressure, not heart rate.

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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

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