A nurse is caring for a client Who requires a medication that is packaged in a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?
Tap the top of the ampule, place a sterile gauze pad around the ampule neck. and break off the top by bending it toward the body.
Tap the bottom of the ampule, place gauze pad around the ampule neck, and break off the bottom with a forward motion away from the body.
Wear sterile gloves and break Off the neck of the glass ampule with a single snap to the right side.
Wear sterile gloves and break off the neck of the glass ampule with a single snap in a downward motion.
The Correct Answer is A
A Tapping at the top ansure all the medication is settled down to prevent inadequate dosing. Breaking off should be done towards the body to prevent injury due to the splashing glass particles
B Tapping the ampule should be done at the top, not bottom, to ensure that any medication at the neck or top is displaced to the bottom. Breaking off the top with a forward motion towards the body reduces the risk of injury from glass shards.
C, D- It is not a sterile procedure hence no need for sterile gloves
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Correct Answer is A
Explanation
Rationale-Warfarin is a coumarin oral anticoagulant. Unlike heparin, warfarin has an onset of action of 4-5 days and requires this duration to give its effect. Before its action takes effect, heparin is required to bridge the gap to prevent clot formation hence the overlap period. IV heparin has no effect on the action of warfarin as an anticoagulant as they have different modes of action
Correct Answer is B
Explanation
A white coating in the mouth is also referred to as oral thrush which is a common adverse effect of inhaled corticosteroids. It occurs due to suppression of the immune system leading to inability to fight fungal infections in the body. The client should be advised to rinse the mouth after inhalation.
A, C, and D are not related to the use of inhaled corticosteroids.
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