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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale

Verifying the bilirubin level of the tube contents is not a standard or reliable method for checking the placement of a feeding tube. Bilirubin is a bile pigment found in the liver and bile ducts, and its levels are not indicative of tube placement in the gastrointestinal tract.

Choice B rationale

Checking the pH level of gastric contents can help determine if the tube is in the stomach, but it is not the most reliable method. Gastric pH is typically acidic (1.5-3.5), but the pH can vary, and this method does not rule out respiratory placement or other incorrect placements.

Choice C rationale

Auscultating for air insufflation involves listening for the sound of air injected through the tube into the stomach. However, this method is not reliable as it does not confirm the exact location of the tube and can give false positives if the tube is in the esophagus or respiratory tract.

Choice D rationale

Requesting a chest x-ray is the most reliable method for verifying feeding tube placement. It provides a clear visual confirmation of the tube's location, ensuring it is correctly positioned in the stomach or small intestine and not in the respiratory tract or other incorrect locations.

A. To an employer for a pre-employment screening. B. To a family member when the client is not available. C. To a medical interpreter service on behalf of a client. D. To an insurance agency in regard to a life insurance policy.

Correct Answer is C

Explanation

Choice A rationale

Health information should not be disclosed to an employer for pre-employment screening without the client's consent, as it violates privacy regulations and the client's right to confidentiality. Such disclosures could lead to discrimination or bias in employment decisions.

Choice B rationale

Disclosing health information to a family member without the client's consent is a breach of confidentiality. The client must provide explicit permission, unless the situation involves an immediate risk to the client's or others' safety, which is not indicated here.

Choice C rationale

Sharing health information with a medical interpreter service on behalf of a client is permissible, as it facilitates communication between the client and healthcare providers. This action supports the client's care and ensures accurate understanding of medical information, making it an exception to the confidentiality rule.

Choice D rationale

Disclosing health information to an insurance agency regarding a life insurance policy requires the client's consent. It involves sharing sensitive information that could affect policy terms and premiums. Without consent, this disclosure would breach confidentiality laws.

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A nurse is preparing to administer a medication from an ampule.Which of the following is an appropriate action for the nurse to take?

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Naxlex Comprehensive Predictor Exams

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A nurse is preparing to administer a medication from an ampule.
Which of the following is an appropriate action for the nurse to take?