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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Troponin: Troponin is used to evaluate cardiac injury, not the effectiveness of epoetin alfa.
B. Thyroxine (T4): T4 measures thyroid function, unrelated to epoetin alfa.
C. Aspartate aminotransferase (AST): AST is a liver enzyme, not used to monitor epoetin alfa therapy.
D. Hgb: Epoetin alfa stimulates erythropoiesis to increase hemoglobin levels in clients with anemia, particularly in chronic kidney disease or chemotherapy.
Correct Answer is D
Explanation
A. Concurrent use of chondroitin: Chondroitin is commonly used to treat osteoarthritis and can generally be used safely alongside celecoxib.
B. Concurrent use of calcium supplements: Calcium supplements do not have a contraindication with celecoxib and can be used concurrently.
C. Penicillin allergy: A penicillin allergy does not affect the use of celecoxib, as it is unrelated to the penicillin class of antibiotics.
D. Sulfonamide allergy: Celecoxib is a sulfonamide-based medication, so clients with a sulfonamide allergy should not take it due to the risk of an allergic reaction.
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