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 D
Explanation
A. Taking ferrous gluconate with 8 ounces of milk is incorrect. Calcium in milk can interfere with the absorption of iron, reducing its effectiveness. The client should be instructed to avoid taking iron supplements with dairy products.
B. It is not necessary to notify the provider if stools turn black. Black stools are a common and harmless side effect of iron supplementation due to the unabsorbed iron in the gastrointestinal tract. The client should be informed of this expected side effect.
C. Taking an antacid with ferrous gluconate is incorrect. Antacids can reduce the absorption of iron by altering the stomach's pH. If the client experiences stomach upset, the medication can be taken with food, although this may slightly reduce absorption.
D. Staying upright for at least 15 minutes after taking ferrous gluconate is correct. This practice helps prevent esophageal irritation, which can occur if the medication remains in contact with the esophageal lining. This statement indicates an understanding of the teaching.
Correct Answer is B
Explanation
Choice A rationale:
While diphenhydramine is used to manage allergic reactions, epinephrine is the first-line treatment for severe anaphylactic reactions.
Choice B rationale:
In cases of anaphylactic reactions, epinephrine is the first-line treatment to reverse the severe allergic response. It helps to relieve bronchoconstriction, improve blood pressure, and counteract the symptoms of anaphylaxis.
Choice C rationale:
Elevating the client's legs and feet is not the appropriate intervention for anaphylactic reactions.
Choice D rationale:
Replacing the infusion with 0.9% sodium chloride is not the priority action in managing anaphylactic reactions. Administering epinephrine and managing the client's airway and circulation are more important.
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