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?
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.
Return the remaining medication to the facility's pharmacy.
Dispose of the remaining medication while another nurse observes.
The Correct Answer is D
Choice A rationale:
Storing the remaining half of the pill could lead to potential confusion and medication errors in the future.
Choice B rationale:
Placing the remaining half of the pill in a unit-dose package is not recommended, as the packaging is intended for a single dose.
Choice C rationale:
Returning the remaining medication to the pharmacy is not necessary, and proper disposal is the appropriate action.
Choice D rationale:
Disposing of the remaining medication in the presence of another nurse ensures proper disposal and prevents the medication from being used inappropriately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
BUN (blood urea nitrogen) measures kidney function and hydration status but is not a specific indicator for withholding triamterene.
Choice B rationale:
Triamterene is a potassium-sparing diuretic. With a potassium level of 5.3 mEq/L, which is elevated, the nurse should withhold the medication to prevent further potassium retention.
Choice C rationale:
Sodium level of 142 mEq/L is within the normal range and does not indicate a need to withhold triamterene.
Choice D rationale:
Albumin level of 4 g/dL is within the normal range and does not directly impact the decision to withhold triamterene.
Correct Answer is D
Explanation
Choice A rationale:
PaCO2 levels are not typically affected by albumin infusions.
Choice B rationale:
Oxygen saturation of 96 is a normal finding and is not directly related to an albumin infusion.
Choice C rationale:
Albumin infusion would not typically cause a decrease in protein levels. A decrease in protein is not expected after albumin infusion, as albumin is a protein itself.
Choice D rationale:
Albumin is a plasma expander that increases the blood volume and the blood pressure in a client who is in shock.
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