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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.

Answer and Explanation

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 B

Explanation

washing the affected area with soap and water before applying the cream remove any debris that may interfere with absorption of the drug allowing for optimal concentration for clearance of the infection.
A. Increasing fluid intake is not specifically related to the use of gentamicin topical cream.
C. Topical gentamicin cream does not have adverse effects associated with systemic formulations hence no reported blurred vision
D. Application is only recommended for affected areas.

A. Expect stools to turn black. B. Anticipate the tablets to smell like vinegar. C. Monitor for tinnitus. D. Take the tablets on an empty stomach.

Correct Answer is C

Explanation

Aspirin is a salicylate that has multiple effects. When taken in excess in susceptible individuals it can cause tinnitus due to salicylism. The client should be advised to report any tinnitus to the provider as this may be a sign of aspirin toxicity.
A. Black stool is the client signifies upper GI bleeding that should be monitored for and reported if it occurs
B. Aspirin tablets have a vinegar smell when hydrolysis has taken place and should not be taken at this point
D. Aspirin should be taken with meals or after meals

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client Who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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