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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 C

Explanation

Choice A rationale:

Slowing the infusion rate would not address the issue of infiltration.

Choice B rationale:

Flushing the IV catheter would not be effective in managing fluid infiltration.

Choice C rationale:

Elevating the extremity helps reduce swelling and limits the spread of infiltrated fluid into surrounding tissues.

Choice D rationale:

Applying pressure to the IV site might be appropriate for preventing bleeding during catheter removal, but it would not effectively manage fluid infiltration.

A. BUN 16 mg/dL B. Potassium 5.3 mEq/L C. Sodium 142 mEq/L D. Albumin 4 g/dL

Correct Answer is B

Explanation

Choice A rationale:

A BUN level of 16 mg/dL is within a normal range.

Choice B rationale:

A potassium level of 5.3 mEq/L is higher than the normal range (typically 3.5-5.0 mEq/L). Triamterene is a potassium-sparing diuretic, and if the client's potassium level is already elevated, it should be withheld to prevent hyperkalemia.

Choice C rationale:

A sodium level of 142 mEq/L is within a normal range.

Choice D rationale:

An albumin level of 4 g/dL is within a normal range.

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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 assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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