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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Correct Answer is A

Explanation

Choice A Reason:

Consuming probiotic sources is recommendable. Probiotics are beneficial bacteria that can promote gut health. Including probiotic sources in the diet, such as yogurt with live cultures or other fermented foods, can help maintain a healthy balance of gut bacteria and alleviate constipation.

Choice B Reason:

Using a laxative every day is not recommendable. Regular use of laxatives is generally not recommended for chronic constipation, as it can lead to dependence and may not address the underlying causes.

Choice C Reason:

Baking with white flour is not recommendable. Consuming refined white flour may not contribute significantly to relieving constipation. Whole grains, high-fiber foods, and adequate fluid intake are more beneficial.

Choice D Reason:

Taking a calcium supplement is not recommendable. While calcium is important for overall health, taking a calcium supplement is not typically recommended as the primary intervention for chronic constipation. Dietary and lifestyle measures, such as increasing fiber intake and staying hydrated, are more commonly recommended.

A. “I understand that you decided not to receive blood products.” B. “Not receiving blood will slow down your memory” C. “Why are you refusing to receive blood products?” D. “You need to talk with your doctor about this”

Correct Answer is A

Explanation

Choice A Reason:

“I understand that you decided not to receive blood products.” This response shows empathy and acknowledges the client's decision without judgment. It respects the client's autonomy and decision-making capacity.

Choice B Reason:

“Not receiving blood will slow down your memory.” This statement introduces a potential consequence that may not be accurate or relevant to the client's decision. It is important to provide information, but scare tactics or inaccurate statements may not be helpful.

Choice C Reason:

“Why are you refusing to receive blood products?” While understanding the client's rationale is essential, the initial response should convey empathy and acceptance. Asking why may be appropriate later in the conversation, but starting with understanding is crucial.

Choice D Reason:

“You need to talk with your doctor about this.” While involving the doctor is important, it's essential to address the client's feelings and decisions directly. The nurse can play a supportive role in facilitating communication between the client and the healthcare team.

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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 caring for a client who has chronic constipation. Which of the following actions should the nurse recommend to the client?

Correct Answer is A

Explanation

A nurse is caring for a client who has acute lymphocytic leukemia. The client is refusing blood products. Which one of the following responses should the nurse take?

Correct Answer is A

Explanation

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