A nurse is caring for a client who has a prescription for morphine 4 mg IM stat. The medication is dispensed in a 5 mg/mL prefilled syringe. Which of the following actions should the nurse take?

Dispose of the excess medication in the sharps container.

Give the full contents of the prefilled syringe.

Discard the excess medication with a second nurse as a witness.

Inject the prescribed dose and save the rest for a later use.

Answer and Explanation

The Correct Answer is C

A. Dispose of the excess medication in the sharps container: Medication should not be disposed of in sharps containers; proper protocols must be followed.
B. Give the full contents of the prefilled syringe: Administering more than the prescribed dose can lead to overdose and adverse effects.
C. Discard the excess medication with a second nurse as a witness: Controlled substances, such as morphine, require a witness for proper disposal of unused portions.
D. Inject the prescribed dose and save the rest for later use: Leftover medication should never be saved for later, as this violates safety protocols and poses legal risks.

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Correct Answer is A

Explanation

A. Sore throat: Sore throat is a potential sign of agranulocytosis, a serious adverse effect of carbamazepine, and should be reported to the provider immediately.
B. Increased salivation: Increased salivation is not typically associated with carbamazepine and is not considered a common adverse effect.
C. Urge incontinence: Urge incontinence is not a known adverse effect of carbamazepine.
D. Gingivitis: Gingivitis is not a typical adverse effect of carbamazepine and is not generally a concern for this medication.

A. Increased aspiratory rate B. Report of decreased pain C. Increased temperature D. Decreased blood pressure

Correct Answer is A

Explanation

A. Increased respiratory rate: Naloxone reverses respiratory depression caused by opioids, so an improvement in respiratory rate indicates effectiveness.
B. Report of decreased pain: Naloxone reverses opioid effects, including pain relief. Pain might increase, not decrease, following naloxone administration.
C. Increased temperature: Naloxone does not directly affect body temperature.
D. Decreased blood pressure: Naloxone is not associated with a direct effect on blood pressure; instead, it reverses opioid-induced hypotension.

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Prescribed Medication	Nursing Instruction
Albuterol	Take your albuterol when you are having difficulty breathing. Hold your breath for 20 seconds when taking your albuterol.
Salmeterol	Take the salmeterol 5 minutes before the albuterol when you need both medications. Take the salmeterol 2 times each day.
Fluticasone	Rinse out your mouth after taking the fluticasone. Take the fluticasone as needed for an asthma attack.

A nurse is caring for a client who has a prescription for morphine 4 mg IM stat. The medication is dispensed in a 5 mg/mL prefilled syringe. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has been taking carbamazepine. Which of the following is an adverse effect of carbamazepine and should be reported to the provider?

Correct Answer is A

Explanation

A nurse is monitoring a client who received naloxone to counteract the effects of an opioid overdose. Which of the following findings should indicate to the nurse that the medication is effective?

Correct Answer is A

Explanation

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