A nurse is preparing to administer an opioid analgesic IM to a client. The vial contains 2 mg of medication, but the client's prescription is for 1 mg. After administering the medication, which of the following actions should the nurse take when handling the remaining medication in the vial?

Discard the vial with the remaining medication in the sharp container.

Have another nurse witness the disposal of the remaining medication.

Draw up the remaining 1 mg in a syringe and label it with the contents, date, and time.

Store the vial in the client's medication drawer for future use.

Answer and Explanation

The Correct Answer is C

Choice A Reason:

Discarding the vial with the remaining medication in the sharp container is inappropriate. This would result in unnecessary waste of the medication and could lead to increased healthcare costs.

Choice B Reason:

Having another nurse witness the disposal of the remaining medication is inappropriate. Witnessing the disposal is typically required for controlled substances, but in this situation, it's more appropriate to use the remaining medication with appropriate documentation.

Choice C Reason:

Drawing up the remaining 1 mg in a syringe and label it with the contents, date, and time is appropriate. This approach minimizes medication wastage and allows for appropriate documentation of the extra dose drawn up. However, it is crucial to label the syringe clearly with the contents, date, and time to avoid any potential errors or confusion. This labeled syringe can then be used for subsequent doses, as long as it remains within the medication's expiration period and adheres to institutional policies.

Choice D Reason:

Storing the vial in the client's medication drawer for future use is inappropriate. Keeping the vial for future use without appropriate documentation is not recommended, as it may lead to medication errors or confusion.

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Free Nursing Study Resources

Correct Answer is E,C,D,B,A

Explanation

Choice E Reason:

Preparing a dry work surface above the waist level. It's crucial to start by selecting and preparing an appropriate area for setting up the sterile field. This surface needs to be clean, dry, and above the waist level to maintain sterility and prevent contamination.

Choice C Reason:

Opening the outside cover of the sterile kit and remove the dust cover. This step involves opening the sterile kit without touching the inside contents to maintain sterility. Removing the outer cover exposes the sterile packaging and prepares for further steps.

Choice D Reason:

Grasping the outermost flap of the sterile kit while opening away from the body. By carefully opening the outermost flap, the nurse ensures that the sterile contents remain protected. Opening away from the body helps prevent accidental contamination from clothing or movements.

Choice B Reason:

Opening each side flap of the sterile kit individually while pulling to the side. Sequentially opening the side flaps maintains the sterile field and allows access to the inner contents without compromising sterility.

Choice A Reason:

Opening the innermost lower flap of the sterile kit while standing away from the sterile field. This final step involves accessing the innermost contents of the sterile kit while maintaining a safe distance to avoid accidental contamination. It ensures the contents within the sterile field remain protected until needed for the dressing change.

Correct Answer is ["6 "]

Explanation

To calculate the number of capsules the nurse should administer in a 24 hr period, the nurse should first divide the prescribed dose by the available dose.

This gives 750 mg / 375 mg = 2 capsules.

Then, the nurse should multiply the number of capsules per dose by the number of doses per day.

This gives 2 capsules x 3 doses = 6 capsules.

Therefore, the nurse should administer 6 capsules of metronidazole in a 24 hr period to the client who has bacterial vaginosis.

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A nurse is preparing to administer an opioid analgesic IM to a client. The vial contains 2 mg of medication, but the client's prescription is for 1 mg. After administering the medication, which of the following actions should the nurse take when handling the remaining medication in the vial?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take. (Placethem in the order of performance. Use all the steps.)

Correct Answer is E,C,D,B,A

Explanation

Correct Answer is ["6 "]

Explanation

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