A nurse is planning to withdraw medication from an ampule to prepare for an injection. Which of the following actions should the nurse plan to take?

Dispose of the top of the ampule in a sharps container.

Place a paper towel around the ampule's neck to break off the top with both hands.

Expel air into the ampule to aspirate air bubbles.

Withdraw the medication from the ampule using a needleless system.

Answer and Explanation

The Correct Answer is A

A)   Disposing of the top of the ampule in a sharps container is essential for safety to prevent accidental injuries from broken glass.
B)   While placing a paper towel around the ampule's neck to break off the top with both hands is a good practice to prevent injury, it's not the primary action needed for safe disposal.
C)   Expelling air into the ampule to aspirate air bubbles is unnecessary and could contaminate the medication.
D)   Withdrawing the medication from the ampule using a needleless system is not typically done with ampules, as they are usually designed for single-use and require breaking the top off to access the medication.

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Correct Answer is C

Explanation

A) Distended jugular veins are associated with fluid overload, not dehydration.

B) Pitting, dependent edema is also associated with fluid overload, not dehydration.

C) Decreased blood pressure is a common sign of dehydration due to decreased blood volume.
D) Increased blood pressure is not typically associated with dehydration and may suggest other conditions such as hypertension or fluid overload.

A. Limit time for visitors to 2 hr per day. B. Instruct visitors to remain 6 feet from the client. C. Discard the radioactive device in the client's trash can. D. Keep soiled bed linens in the client's room. E. Keep soiled bed linens in the client's room.

Correct Answer is B

Explanation

A) Limiting time for visitors is necessary in this case. However, the time should be limited to 1 hour in 24 hours and not 2 hours.
B) Instructing visitors to remain 6 feet from the client is crucial for their safety to minimize radiation exposure. Brachytherapy involves the use of a radioactive source placed close to or inside the tumor, and while the patient is emitting radiation, safety precautions must be taken to protect others from exposure. Safety measures such as maintaining a safe distance help ensure that the radiation exposure to others is As Low As Reasonably Achievable (ALARA), a principle that aims to minimize exposure while achieving the necessary therapeutic effect.
C) Discarding the radioactive device in the client's trash can is incorrect as it poses a risk of exposure to others.
D) Keeping soiled bed linens in the client's room is incorrect as they may be contaminated with radiation and should be handled according to radiation safety protocols.

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