A nurse is preparing to administer a medication from an ampule.
Which of the following is an appropriate action for the nurse to take?
Inject air into the ampule prior to drawing the medication into a syringe.
Add 0.5 mL of diluent to the medication.
Use a filter needle to aspirate the medication.
Cleanse the tip of the ampule with an alcohol swab after opening.
The Correct Answer is C
Choice A rationale
Injecting air into the ampule prior to drawing the medication into a syringe is incorrect because ampules are sealed glass containers, and injecting air could cause the liquid to spill out due to pressure changes.
Choice B rationale
Adding 0.5 mL of diluent to the medication is not appropriate for most medications in ampules unless specifically instructed by the medication guidelines. Ampules typically contain ready-to-use medication.
Choice C rationale
Using a filter needle to aspirate the medication is the correct action. A filter needle is used to prevent any glass particles from being drawn into the syringe, ensuring the medication is safe for administration.
Choice D rationale
Cleansing the tip of the ampule with an alcohol swab after opening is unnecessary because the ampule's contents are sterile and the risk of contamination is minimized if the ampule is handled correctly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Hypermagnesemia is less common with vomiting and diarrhea. These conditions usually cause a loss of magnesium rather than an excess.
Choice B rationale
Hyperkalemia is also less typical. Vomiting and diarrhea tend to cause potassium loss, leading to hypokalemia instead.
Choice C rationale
Hyponatremia is common as vomiting and diarrhea result in the loss of sodium and water, leading to low blood sodium levels.
Choice D rationale
Hypocalcemia is not a primary result of vomiting and diarrhea. Calcium levels are usually not directly affected by gastrointestinal fluid loss.
Correct Answer is C
Explanation
Choice A rationale
A repressed grief response, where an individual avoids expressing their grief, is considered delayed grief, not exaggerated grief. This can manifest as physical symptoms or psychological issues later on.
Choice B rationale
Grief that begins following a terminal diagnosis is anticipatory grief, which is a normal response as individuals begin to process the impending loss. It prepares them emotionally for the eventual death.
Choice C rationale
Exaggerated grief involves intense, prolonged, and often harmful reactions such as self-destructive behaviors. This type of grief can significantly impair a person's ability to function and may require professional intervention.
Choice D rationale
A grief response triggered by a secondary loss (e.g., loss of job or home) is known as cumulative grief. While it complicates the grieving process, it does not inherently lead to the exaggerated, self-destructive behaviors seen in exaggerated grief.
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