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?
Discard the excess medication with a second nurse as a witness.
Inject the prescribed dose and save the rest for a later use.
Dispose of the excess medication in the sharps container.
Give the full contents of the prefilled syringe.
The Correct Answer is A
A. Discarding excess medication with a witness is necessary as the medication cannot be saved or reused.
B. Morphine is a controlled substance, and administering a partial dose and saving the rest for later use may lead to potential errors, diversion, or contamination of the remaining medication.
C. While excess medication should be disposed of properly, it is not necessary to dispose of the entire in the sharp’s container. Only the container itself should go to the sharp’s container.
D. The nurse should not administer the full prescribed dose of morphine from the prefilled syringe as that is an overdose as it can lead to respiratory depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Fatty foods can delay the absorption of sildenafil, potentially delaying its onset of action. While it's not necessary to completely avoid fatty foods, consuming a high-fat meal shortly before taking sildenafil may delay its effects. Therefore, it's advisable to avoid large, high-fat meals before taking sildenafil to optimize its effectiveness.
A. Sildenafil is typically taken on an as-needed basis, approximately 30 minutes to 1 hour before anticipated sexual activity. Taking sildenafil more than once a day is not recommended and can increase the risk of adverse effects and complications.
C. Sildenafil is a medication used to treat erectile dysfunction by improving blood flow to the penis, but it does not protect against sexually transmitted diseases (STDs).
D. Constipation is not a common side effect of sildenafil. Common side effects of sildenafil include headache, flushing, indigestion, nasal congestion, and dizziness. Constipation is not typically associated with sildenafil use.
Correct Answer is C
Explanation
A. Opioid overdose typically results in central nervous system depression, which can lead to bradycardia (slow heart rate) rather than tachycardia. Bradycardia occurs due to decreased sympathetic nervous system activity.
B. Bradyppnea is a common finding in opioid overdose due to the depressive effect of opioids on the respiratory center in the brainstem. Opioids can suppress the drive to breathe, leading to shallow and rapid breathing, or even respiratory arrest in severe cases.
C. Sedation or drowsiness is a hallmark feature of opioid overdose. Oxycodone, like other opioids, acts on the central nervous system to produce analgesia and sedation. In cases of overdose, sedation may progress to unconsciousness and respiratory depression, which can be life-threatening.
D. Opioid overdose typically causes pinpoint (constricted) pupils rather than dilated pupils. The constriction of pupils, known as miosis, is a classic sign of opioid toxicity due to the suppression of the sympathetic nervous system.
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