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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.

Answer and Explanation

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.

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Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale:

Older adults are more likely to take multiple medications (polypharmacy), which increases the risk of drug interactions and adverse reactions.

Choice B rationale:

Multiple health problems can result in complex medication regimens and an increased risk of adverse reactions.

Choice C rationale:

The rate of drug absorption tends to decrease with age, not increase.

Choice D rationale:

Decreased percentage of body fat can lead to altered drug distribution and increased risk of drug toxicity.

Choice E rationale:

Decreased renal function affects drug excretion, increasing the risk of drug accumulation and adverse effects.

A. INR 1.6 B. WBC 6,000/mm3 C. Hgb 16 g/dL D. aPTT 90 seconds

Correct Answer is D

Explanation

Choice A rationale:

An INR of 1.6 is slightly elevated but does not necessarily warrant an incident report.

Choice B rationale:

A WBC count of 6,000/mm3 is within a normal range and would not warrant an incident report.

Choice C rationale:

A hemoglobin level of 16 g/dL is within a normal range and does not warrant an incident report.

Choice D rationale:

An aPTT of 90 seconds is significantly prolonged and may indicate excessive anticoagulation from the heparin administration. This could potentially be a safety concern and would warrant an incident report for further evaluation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply.)

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Explanation

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Correct Answer is D

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