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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

Liver cirrhosis interferes with the synthesis of vitamin K dependent coagulation factors leading to a prolonged prothrombin time (PT). Administration of vitamin K improves clotting function by replenishing the deficient clotting factors.
A. Heparin is an anticoagulant medication that works by inhibiting blood clotting. It can further increase the risk of bleeding.
C. Warfarin is an oral anticoagulant medication commonly used to prevent blood clots and like heparin, increases risk of bleeding.
D. Ferrous sulfate is an iron supplement used to treat iron deficiency anemia but not effect on coagulation.

A. “Stop taking the pills and switch to a different contraceptive method” B. "Take a home pregnancy test. C. "Do not have vaginal intercourse until after your next period." D. "Take the missed dose now, then continue the medication as ordered."

Correct Answer is D

Explanation

During the first week or last week of a 28-day cycle pack of oral contraceptives increases the risk of contraceptive failure. However, the client should take the missed dose as soon as they remember, even if it means taking two pills in one day. After taking the missed dose, the client should continue taking the remaining pills in the pack at the usual time, one pill per day. Due to increased risk of failure, client should use an emergency pill or condom for the next 7 days
A -stopping the pills and switching to a different contraceptive method is not necessary after missing one dose
B –missing a pill does not automatically indicate pregnancy. Testing can be considered in presence of typical signs and symptoms of pregnancy
C- abstaining from vaginal intercourse until after the next period is not necessary. Risk of pregnancy can be addressed by use of back up contraception like condoms.

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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 cirrhosis and a prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer?

Correct Answer is B

Explanation

A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?

Correct Answer is D

Explanation

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