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 A
Explanation
Choice A rationale:
Pruritus, or itching, is a common adverse effect of opioid medications like morphine.
Choice B rationale:
Gastric bleeding is not a typical adverse effect of morphine administered via epidural infusion.
Choice C rationale:
Tachypnea, or rapid breathing, is not a common adverse effect of morphine. It's more commonly associated with opioid overdose.
Choice D rationale:
Cough is not a prominent adverse effect of morphine administered via epidural infusion.
Correct Answer is C
Explanation
Choice A rationale:
Obtaining the client's HDL level is not relevant to the administration error.
Choice B rationale:
Collecting the client's uric acid level is not relevant to the administration error.
Choice C rationale:
Metformin is an antidiabetic medication used to control blood glucose levels. Since metformin was administered instead of metoprolol, the nurse should check the client's glucose level to monitor for potential effects of the incorrect medication.
Choice D rationale:
Monitoring the client's thyroid function levels is not relevant to the administration error involving metformin and metoprolol.
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