A nurse is preparing to administer a controlled substance to a client for pain management.
Which of the following actions should the nurse take?
Verify the count total of the controlled substance after removing the amount needed.
Place the wasted portion of the controlled substance in the sharps container.
Report any discrepancy in the count total of the controlled substance after administration.
Ask a second nurse to record her signature when wasting any unused portion of the controlled substance.
The Correct Answer is D
Ask a second nurse to record her signature when wasting any unused portion of the controlled substance.
This is because if a controlled substance is wasted, this waste must be witnessed by and documented by the wasting nurse and another nurse.
Choice A is wrong because the count total of the controlled substance should be verified before removing the amount needed, not after.
Choice B is wrong because the wasted portion of the controlled substance should not be placed in the sharps container.
It should be disposed of according to facility/agency policy.
Choice C is wrong because any discrepancy in the count total of the controlled substance should be reported immediately, not after administration 1.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
“Potassium 5.8 mEq/L” should be reported to the provider because it is higher than the normal range for potassium levels in the blood.
Normal potassium levels range from.6 to 5.2 millimoles per liter (mmol/L)1.
Choices B, C, and D are incorrect because sodium levels of 140 mEq/L, and magnesium levels of.9 mEq/L and calcium levels of 9.6 mg/dL are all within normal ranges and do not need to be reported to the provider.
Correct Answer is B
Explanation
It is recommended that IVs are placed in the arm on the opposite side of your surgery, if possible.
Choice A is wrong because it involves placing the IV catheter on the same side as the mastectomy.
Choice C is wrong because it involves placing the IV catheter on the same side as the mastectomy.
Choice D is wrong because it involves placing the IV catheter on a vein that is not commonly used for IV therapy.
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