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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

Bupropion XL tablets should be taken whole. Crushing the tablet interferes with the pharmacokinetics of the drug leading to reduced efficacy and increased risk of toxicity. Administering bupropion XL inappropriately could result in harm to the client and should prompt the nurse to file an incident report to document the error and ensure appropriate follow-up and monitoring.

B. Meperidine is a commonly administered opioid analgesic and can be given intramuscularly in appropriate doses and sites.

C. Selection of the needle length and gauge depend on the route of administration and individual client's characteristics

D.Gentamicin can be administered by intermittent IV bolus over a prolonged period as part of its dosing regimen.

A. Hypoglycemia B. Hypertension C. Hypervolemia D. Hypokalemia

Correct Answer is D

Explanation

Furosemide is a loop diuretic that blocks water reabsorption in the loop of Henle promoting diuresis. It also causes potassium loss in urine leading to hypokalemia. Checking potassium levels before administration of furosemide prevents worsening already existing hypokalemia.

Hypokalemia causes complications like cardiac dysrhythmias, muscle weakness, and fatigue. The nurse should monitor the client for signs and symptoms of hypokalemia and notify the provider appropriately

A. furosemide does not affect the blood glucose levels

B. furosemide is used to lower blood pressure by reducing venous return.

C. furosemide reduces fluid load by blocking water reabsorption in the kidney

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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

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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