A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
Return the remaining medication to the facility's pharmacy.
Dispose of the remaining ’edication while another nurse observes.
Store the remaining half of the pill in the automated medication dispensing system.
Place the remaining half of the pill in the unit-dose package.
None
None
The Correct Answer is B
Answer: B. Dispose of the remaining medication while another nurse observes.
Rationale:
A) Return the remaining medication to the facility's pharmacy: Return the remaining medication to the facility's pharmacy: This is not typical practice for partial doses of controlled substances like hydromorphone. The pharmacy usually does not accept leftover portions of such medications.
B) Dispose of the remaining medication while another nurse observes: This is the correct and appropriate action. When administering controlled substances, any unused portion must be properly disposed of to prevent misuse or diversion. Having another nurse observe and document the disposal ensures accountability and adherence to safety protocols.
C) Store the remaining half of the pill in the automated medication dispensing system: Storing a partial tablet of a controlled substance is not appropriate. The automated medication dispensing system is designed to store and dispense whole doses of medication as prescribed. Storing partial tablets can lead to confusion, contamination, and potential misuse. It also increases the risk of medication errors, as the partial dose may not be easily identifiable or accurately accounted for.
D) Place the remaining half of the pill in the unit-dose package: his practice is not acceptable for controlled substances due to the risk of misuse, contamination, and the potential for medication errors. Controlled substances require strict handling and disposal procedures to ensure safety and compliance with regulatory standards. Placing a partial tablet back into the unit-dose package does not align with these standards and could lead to inappropriate use or administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Naloxone: This is the correct medication to anticipate administering for opioid toxicity. Naloxone is an opioid antagonist that competitively blocks opioid receptors, reversing the effects of opioid overdose, including respiratory depression, sedation, and hypotension. Administering naloxone can quickly reverse the toxic effects of opioids and restore adequate ventilation and consciousness in the client.
B) Atropine: Atropine is not indicated for opioid toxicity. It is an anticholinergic medication used to treat bradycardia and to decrease respiratory secretions, but it does not reverse the effects of opioids.
C) Midazolam: Midazolam is a benzodiazepine medication used for sedation, anxiety reduction, and induction of anesthesia. While it may be used as an adjunct in the management of acute agitation or seizures, it is not the primary medication for reversing opioid toxicity.
D) Dexamethasone: Dexamethasone is a corticosteroid medication with anti-inflammatory and immunosuppressive effects. It is not indicated for the treatment of opioid toxicity.
Correct Answer is C
Explanation
C) "The TPN will provide nutrients while your bowels have time to rest": Total parenteral nutrition (TPN) is a method of providing nutrition intravenously to clients who are unable to tolerate or absorb adequate nutrients through the gastrointestinal tract. It bypasses the digestive tract entirely, delivering a balanced mixture of nutrients directly into the bloodstream. One of the primary indications for TPN is to provide nutritional support while allowing the gastrointestinal tract to rest, particularly in cases where the bowels are inflamed, injured, or unable to function properly. By bypassing the digestive system, TPN can provide essential nutrients to the body while reducing the workload on the gastrointestinal tract. Therefore, the nurse should include this information in the teaching to help the client understand the purpose and benefits of TPN therapy.
A) "The TPN will stimulate your appetite so that you'll be able to eat more food": TPN does not stimulate appetite. In fact, TPN is often used when the client cannot eat or tolerate oral intake due to various medical conditions or gastrointestinal issues. Therefore, this statement is incorrect and may confuse the client about the purpose of TPN therapy.
B) "The TPN contains medication that will help your digestive tract absorb nutrients": TPN does not contain medication to help the digestive tract absorb nutrients. Instead, TPN provides nutrients directly into the bloodstream, bypassing the need for digestion. This statement is inaccurate and does not accurately describe the mechanism of action of TPN.
D) "The TPN will help keep your bowels clear in case you need surgery": While TPN can help maintain nutritional status in clients who are unable to eat or tolerate oral intake, it is not primarily used to keep the bowels clear for surgery. Bowel preparation for surgery typically involves other interventions such as bowel rest, mechanical cleansing, or medication administration. Therefore, this statement is not directly related to the purpose of TPN therapy and may mislead the client about its intended use.
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