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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 A

Explanation

Fat overload syndrome is a rare but serious complication that can occur in clients receiving lipid infusion. It is typically characterized by fever.

Although spontaneous hemorrhage can occur, peripheral edema is not a typical feature of fat overload syndrome.

Hypertension is not a typical feature of fat overload syndrome. However, hypotension may occur due to fluid shift and vasodilation.

Erythema can occur at the site of infusion during lipid infusion. However, it is not a typical feature of fat overload syndrome.

A. Call the client's provider. B. Stop the infusion. C. Auscultate the client's breath sounds. D. Elevate the head of the bed. E. Elevate the head of the bed.

Correct Answer is B

Explanation

The client is exhibiting symptoms and signs of anaphylaxis. Anaphylaxis is a severe systemic allergic reaction that occurs due to allergens presenting with (itching) urticaria and sudden onset shortness of breath and/or shock. The first action should be to stop the infusion to prevent worsening the severity of the allergic reaction.

A. Important to allow for further prescription but not a priority

C. Auscultating the lungs allows the nurse to assess for the severity of the reaction but should come after stopping the infusion

D. Elevating the head can improve ventilation but is not a priority

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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 assessing a client who is receiving a parental lipid infusion. Which of the following findings is a manifestation of fat overload syndrome?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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