A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?

Have another nurse witness the wasted medication.

Return the wasted medication to the medication dispenser.

Place the wasted portion of the medication in the sharps container.

Exit the medication room to call the health care provider to request an order that matches the dosages.

Answer and Explanation

The Correct Answer is A

A: Having another nurse witness the wasted medication is the correct procedure. This ensures accountability and compliance with regulations regarding the handling and disposal of controlled substances.

B: Returning the wasted medication to the medication dispenser is not appropriate. Once a narcotic has been withdrawn, it cannot be returned to the dispenser due to contamination and safety protocols.

C: Placing the wasted portion of the medication in the sharps container is not correct. Narcotics should be disposed of according to specific protocols, which typically involve witnessing and documentation, not simply placing them in a sharps container.

D: Exiting the medication room to call the health care provider to request an order that matches the dosages is unnecessary. The nurse should follow the proper procedure for wasting the medication with a witness.

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Correct Answer is C

Explanation

A: 20 mg is incorrect and represents a significant overdose. It is not an appropriate transcription for two tenths of a milligram.

B: 0.20 mg is not the best practice because it can be misread as 20 mg if the decimal point is missed. Leading zeros should be used without trailing zeros to prevent errors.

C: 0.2 mg is the correct transcription. It clearly represents two tenths of a milligram and minimizes the risk of misinterpretation.

D: 2.0 mg is incorrect and represents a tenfold overdose. It is not an appropriate transcription for two tenths of a milligram.

A. Hypertension B. Tachycardia C. Pallor D. Bradypnea

Correct Answer is C

Explanation

A: Hypertension is not typically a late sign of hypoxemia. It can occur in various conditions but is not specific to hypoxemia.

B: Tachycardia is an early sign of hypoxemia as the body attempts to compensate for low oxygen levels by increasing the heart rate.

C: Pallor is a late sign of hypoxemia. It indicates poor oxygenation and perfusion, often seen when the body can no longer compensate for the lack of oxygen.

D: Bradypnea, or slow breathing, is not a typical sign of hypoxemia. Hypoxemia usually causes an increase in respiratory rate (tachypnea) as the body tries to take in more oxygen.

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A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following examples should the nurse use to show appropriate transcription of this dosage?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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