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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 D

Explanation

Gentamicin is a nephrotoxic and ototoxic antibiotic. It I important to have its serum levels should be closely monitored to ensure they are within the therapeutic window

A- Gentamicin is an intravenous formulation and its administration is not related to meals

C- Limiting fluid intake increases the risk of renal injury

D- Agitation is not a common side effect with gentamicin use

A. Bradycardia B. Seizures C. Constipation D. Hypothermia

Correct Answer is C

Explanation

Mydriatic eye drops are used in ophthalmology to dilate the pupil for visualization of the retina and the vitreous humor. Absorption into the system an lead to systemic anticholinergic effect such a s constipation due to reduce gastrointestinal motility.

A. Bradycardia is a cholinergic effect

B and D are not typical anticholinergic effects

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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 caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication?

Correct Answer is D

Explanation

A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect?

Correct Answer is C

Explanation

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